James Charles Smith, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1164 Issued in LA

Practice address

906 C M Fagan Dr
Suite 5B
Hammond, LA 70403-6056

Phone

(985) 345-2440

Fax

(985) 345-2440

NPI assigned

Aug 23, 2011

Last updated

Feb 28, 2015By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425081600000",
    "number": "1437439312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 C M FAGAN DR",
            "address_2": "SUITE 5B",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704036056",
            "telephone_number": "985-345-2440",
            "fax_number": "985-345-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 C M FAGAN DR",
            "address_2": "SUITE 5B",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704036056",
            "telephone_number": "985-345-2440",
            "fax_number": "985-345-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JAMES",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-23",
        "last_updated": "2015-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "LA",
            "license": "1164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Felicia Smith Self, LCSW
• Addie Michelle Smith, OD
• Ashley Smith, LDN
• Brittany Smith
• Holly C. Smith
• Katina Smith
• Larry James Smith
• Lauren Rachel Smith
• Maggie Smith, NP
• Misty Smith, CHES, MA

• Clinical Psychologist in Hammond, LA
• Providers in Hammond, LA by specialty
• Clinical Psychologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2015; 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.