Joseph Derrelle Smith

Primary specialty

Health PsychologistTaxonomy code 103TH0004X

License

103TH0004X Issued in NE

Practice address

14131 Karl St
Omaha, NE 68137-1505

Phone

(917) 686-8384

NPI assigned

Mar 1, 2025

Last updated

Mar 1, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1740787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740787200000",
    "number": "1477350015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14131 KARL ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681371505",
            "telephone_number": "917-686-8384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14131 KARL ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681371505",
            "telephone_number": "917-686-8384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JOSEPH",
        "middle_name": "DERRELLE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-01",
        "last_updated": "2025-03-01",
        "certification_date": "2025-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "NE",
            "license": "103TH0004X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Jo Smith, LIMHP, CMSW
• Jill K Smith
• Jodeci J Smith, CNA
• Jodi K Smith, CCC-SLP
• John L Smith, MD
• Joshua L Smith, M.D.
• Ka'Tia T Smith
• Kalei M Smith
• Kali Deann Smith
• Kaprina Smith

• Health Psychologist in Omaha, NE
• Providers in Omaha, NE by specialty
• Health Psychologist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2025; 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.