Individual provider Active NPI

Richard Lee Smoot, PSY.D.

  • Clinical Psychologist
  • Hendersonville, NC
National Provider Identifier
1457457053
Registry record updated Apr 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4158 Issued in NC
Practice address
50 Hospital Dr Ste 5a
Hendersonville, NC 28792-5247
Phone
(828) 684-1115
Fax
(828) 687-6064
NPI assigned
Sep 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY 7202 FL
Clinical Psychologist 103TC0700X 4158 NC Primary

Addresses

Primary practice location

50 Hospital Dr Ste 5a
Hendersonville, NC 28792-5247

Mailing address

6214 Interbay Ave
Tampa, FL 33611-4907
Phone (813) 832-3267

Other practice location 1

8415 Bayshore Blvd
6 Mdos / Sgoh
Tampa, FL 33621-1607
Phone (813) 827-9170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY 7202FLMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522886400000",
    "number": "1457457053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6214 INTERBAY AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336114907",
            "telephone_number": "813-832-3267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 HOSPITAL DR STE 5A",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287925247",
            "telephone_number": "828-684-1115",
            "fax_number": "828-687-6064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8415 Bayshore Blvd",
            "address_2": "6 MDOS / SGOH",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336211607",
            "country_code": "US",
            "telephone_number": "813-827-9170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMOOT",
        "first_name": "RICHARD",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2018-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY 7202",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "4158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2018; 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.