Paul Lucki Smith, PH.D.
Individual provider Active NPI Clinical Psychologist · Armada, MI
NPI 1376533265 · NPPES record last updated Oct 6, 2013
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(3) exclusion effective Jan 20, 2021.
Key facts
- NPI
- 1376533265
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 6301012845 (MI)
- Practice address
- 15655 33 Mile Rd
Armada, MI 48005-3400 - Phone
- (586) 747-0206
- NPI assigned
- Oct 24, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abh Corporation | Addiction (Substance Use Disorder) | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6301012845 | MI | Yes |
| Clinical Neuropsychologist | 103G00000X | |||
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X |
Addresses
Primary practice location
15655 33 Mile Rd
Armada, MI 48005-3400
Mailing address
15655 33 Mile Rd
Armada, MI 48005-3400
Phone (586) 747-0206
Other providers in Armada, MI
- Deborah Lynn Saelens
- Colleen M Scott
- Gretta Shara
- Kali Alyss Sherry
- Smidi Drugs Inc
- Ashley Marie Snyder
- Cindy Spalding
- Cheryl Ann Spaulding
- Kelly Townsend
- Heather Marie Tribu-Thomas
All providers in Armada, MI · Clinical Psychologist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- OIG LEIE (HHS Office of Inspector General).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.