Samuel David Smithyman, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1044 Issued in SC

Practice address

880 S Pleasantburg Dr
Suite 2B
Greenville, SC 29607-2422

Phone

(864) 232-1114

Fax

(864) 232-1119

NPI assigned

Jun 11, 2009

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)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1244678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244678400000",
    "number": "1457588956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 S PLEASANTBURG DR",
            "address_2": "SUITE 2B",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072422",
            "telephone_number": "864-232-1114",
            "fax_number": "864-232-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 S PLEASANTBURG DR",
            "address_2": "SUITE 2B",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072422",
            "telephone_number": "864-232-1114",
            "fax_number": "864-232-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITHYMAN",
        "first_name": "SAMUEL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-11",
        "last_updated": "2009-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "SC",
            "license": "1044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas W Smith, O.D.
• Trevor Keith Smith, MD
• Vickery M. Smith
• Victoria K Smith, RN
• Zachary Jay Smith, PA
• Sarah Beth Smoot, CRNA
• Joanna Ruth Guest Smyers, MS, RD, LD
• Palmira Snape, MD
• Angela Sneed
• Ashley R. Sneed, P.T.

• Clinical Psychologist in Greenville, SC
• Providers in Greenville, SC by specialty
• Clinical Psychologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2009; 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.