Jeffrey Brian Smith, EDD, LBA, BCBA-D

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

1-04-1533 Issued in TN

Practice address

4055 N Park Loop Ste 1000
Memphis, TN 38152-4869

Phone

(320) 990-1678

Fax

(901) 678-5630

NPI assigned

Nov 13, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• University of Memphis

  • Behavior Analyst
  • Memphis, TN
  • NPI 1427603554
  NPD

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1346420809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10385 LOBLOLLY VIEW LN",
            "city": "LAKELAND",
            "state": "TN",
            "postal_code": "380024869",
            "telephone_number": "901-488-7830",
            "fax_number": "901-309-0198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4055 N PARK LOOP STE 1000",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381524869",
            "telephone_number": "320-990-1678",
            "fax_number": "901-678-5630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10385 Loblolly View Ln",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "TN",
            "postal_code": "380024869",
            "country_code": "US",
            "telephone_number": "901-488-7830",
            "fax_number": "901-309-0198",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JEFFREY",
        "middle_name": "BRIAN",
        "name_prefix": "Mr.",
        "credential": "EDD, LBA, BCBA-D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-13",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TN",
            "license": "00010",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "TN",
            "license": "1-04-1533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janine Kristen Smith, P.A.
• Jasmine Smith
• Jasmine Elizabeth Smith, MD
• Jay D Smith, M.D.
• Jeffrey Brian Smith, M.D.
• Jennifer Diane Smith, PHARMD
• Jennifer Lehneman Smith
• Jessica Ann Smith, CRNA
• Jessie C Smith
• Jillian R Smith, CRNA

• Cognitive & Behavioral Psychologist in Memphis, TN
• Providers in Memphis, TN by specialty
• Cognitive & Behavioral Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; 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.