Christopher James Smallwood, PHD, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP10682 Issued in AZ

Practice address

150 E Palmetto Park Rd Ste 800
Boca Raton, FL 33432-4833

Phone

(561) 203-9707

NPI assigned

Apr 24, 2011

Last updated

Sep 2, 2024By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Doctor of Philosophy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Erotes, Inc.

  dba Eros

  • Psychiatric/Mental Health Nurse Practitioner
  • Boca Raton, FL
  • NPI 1073023495

  AZ

  Medicare reassignment Authorized official
• Constructive Psychiatry, LLC

  dba drsmallwood.com

  • Psychiatric/Mental Health Nurse Practitioner
  • Boca Raton, FL
  • NPI 1679344170
  NPD Authorized official
• Stasis Behavioral Health, LLC

  • Professional Counselor
  • Boulder, CO
  • NPI 1518738012
  NPD (past) Authorized official

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

{
    "created_epoch": "1303603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725235200000",
    "number": "1386935427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12600 HILL COUNTRY BLVD STE R130-302",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787386723",
            "telephone_number": "512-222-7105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E PALMETTO PARK RD STE 800",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334324833",
            "telephone_number": "561-203-9707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Fillmore St Unit 150",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802065001",
            "country_code": "US",
            "telephone_number": "561-203-9707",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1120 W University Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Flagstaff",
            "state": "AZ",
            "postal_code": "860012879",
            "country_code": "US",
            "telephone_number": "561-203-9707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMALLWOOD",
        "first_name": "CHRISTOPHER",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "PHD, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-24",
        "last_updated": "2024-09-02",
        "certification_date": "2024-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP10682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Sloane, OTA
• Rachel Lynne Slotcavage, M.D.
• David L Slotnick, M.D.
• Hanna Slutsky
• SM Healthcare Consulting
• Smart Tech Medical Inc
• Juliette Smetana
• Linda Drury Smiciklas, OTR/L, CHT
• Smith Williams Shope Kasper Inc (Boca Radiation Oncology Associates)
• Ryann M Smith-Dannemann, R.D.

• Psychiatric/Mental Health Nurse Practitioner in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.