Paul Lucki Smith, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301012845 Issued in MI

Practice address

15655 33 Mile Rd
Armada, MI 48005-3400

Phone

(586) 747-0206

NPI assigned

Oct 24, 2005

Last updated

Oct 6, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Philosophy

Practice roles

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

• Abaris Behavioral Health

  • Clinical Psychologist
  • Shelby Township, MI
  • NPI 1801099965
  Authorized official Same address or phone
• Abh Corporation

  dba Abaris Behavioral Health

  • Clinical Psychologist
  • Rochester Hills, MI
  • NPI 1679757066

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381017600000",
    "number": "1376533265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15655 33 MILE RD",
            "city": "ARMADA",
            "state": "MI",
            "postal_code": "480053400",
            "telephone_number": "586-747-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15655 33 MILE RD",
            "city": "ARMADA",
            "state": "MI",
            "postal_code": "480053400",
            "telephone_number": "586-747-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "PAUL",
        "middle_name": "LUCKI",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2013-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301012845",
            "primary": true
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Lynn Saelens, MA, LLP, LPC
• Colleen M Scott, D.O.
• Gretta Shara, DPM
• Kali Alyss Sherry, PT,DPT, KEOMPT
• Smidi Drugs Inc (Armada Pharmacy)
• Ashley Marie Snyder, NP
• Cindy Spalding
• Cheryl Ann Spaulding, M.A, L.M.S.W.
• Kelly Townsend, DOULA
• Heather Marie Tribu-Thomas, LMT

• Clinical Psychologist in Armada, MI
• Providers in Armada, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.