Hancock-Smith Pediatric & Behavioral Health, LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

HANCOCK-SMITH PEDIATRIC & BEHAVIORAL HEALTH, LLC

Practice address

13900 Tech City Cir Ste 408
Alachua, FL 32615-6090

Phone

(386) 518-6006

Fax

(386) 518-6024

NPI assigned

Jul 29, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Anyaliese Dominique Hancock-Smith, PHDNPI 1508251794

Title

Owner & Licensed Psychologist

Phone

(386) 518-6006

Specialties & licenses 3

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anyaliese Dominique Hancock-Smith, PH.D.

  • Clinical Child & Adolescent Psychologist
  • Alachua, FL
  • NPI 1508251794
  NPD Authorized official
• Lee Nathaniel Purvis, PH.D, LP, NCSP

  • Psychologist
  • New Orleans, LA
  • NPI 1194497354
  NPD

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627862400000",
    "number": "1396354858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 305",
            "city": "ALACHUA",
            "state": "FL",
            "postal_code": "326160305",
            "telephone_number": "386-518-6006",
            "fax_number": "385-518-6024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13900 TECH CITY CIR STE 408",
            "city": "ALACHUA",
            "state": "FL",
            "postal_code": "326156090",
            "telephone_number": "386-518-6006",
            "fax_number": "386-518-6024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANCOCK-SMITH PEDIATRIC & BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-29",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A",
        "authorized_official_last_name": "HANCOCK-SMITH",
        "authorized_official_first_name": "ANYALIESE",
        "authorized_official_middle_name": "DOMINIQUE",
        "authorized_official_title_or_position": "OWNER & LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "386-518-6006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lanell Gordon
• Norman Victor Grachis
• Julie R Graham, ARNP
• Lawrence Green, RN
• Elizabeth Jane Griseck
• Anyaliese Dominique Hancock-Smith, PH.D.
• Teresa Mauricio Hancock
• Cora Whitney Hannon, M.D.
• Adrienne Harmon
• Jordan Hay

• Adolescent and Children Mental Health Clinic/Center in Alachua, FL
• Providers in Alachua, FL by specialty
• Adolescent and Children Mental Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; 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.