Jerone I Smith Sr., MA, FHD

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

Practice address

6280 E Pima St Ste 100
Tucson, AZ 85712-3074

Phone

(520) 425-9529

NPI assigned

Jul 3, 2017

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1499040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1306367016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 W YUCCA CT UNIT 309",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857045436",
            "telephone_number": "520-425-9529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6280 E PIMA ST STE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857123074",
            "telephone_number": "520-425-9529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JERONE",
        "middle_name": "I",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "MA, FHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-03",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Riley Smith, M.D.
• Jason Smith, AU.D., CCC-A
• Jason Ryan Smith, MSW
• Jenifer Pauline Smith, RN, IBCLE
• Jennifer J Smith, M.D.
• Jessica Leigh Smith, FNP
• Joanna L Smith, LAC
• John Martin Smith, M.D.
• John P Smith, D.D.S
• Jonan Smith

• Clinical Child & Adolescent Psychologist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Clinical Child & Adolescent Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.