Paul L Smith, PHD, PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

PAUL L SMITH, PHD, PC

Practice address

1202 Walton Blvd
Suite 210
Rochester Hills, MI 48307-6917

Phone

(248) 656-8500

Fax

(248) 656-8600

NPI assigned

Jan 6, 2014

Last updated

Jan 6, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Paul Lucki Smith, PHD

Title

Owner

Phone

(248) 656-8500

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1388966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388966400000",
    "number": "1386066678",
    "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": "248-656-0206",
            "fax_number": "248-656-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 WALTON BLVD",
            "address_2": "SUITE 210",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483076917",
            "telephone_number": "248-656-8500",
            "fax_number": "248-656-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL L SMITH, PHD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-06",
        "last_updated": "2014-01-06",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "LUCKI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-656-8500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gina Marie Patterson, PA-C
• Paul Vanraaphorst D.D.S., M.S., P.C.
• Andre' Pauritsch, PH.D., L.L.P.
• Lopa J. Pawa, PHARMD
• David E Pawlowski, DO
• Stacy Ann Paye, DO

• Clinical Psychologist in Rochester Hills, MI
• Providers in Rochester Hills, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2014; 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.