Active NPI
Jeffrey T. Smith, PH.D., P.a.
- Clinical Psychologist
- St Petersburg, FL
National Provider Identifier
1477854156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY4531
- Legal business name
- JEFFREY T. SMITH, PH.D., P.A.
- Practice address
- 1905 Tyrone Blvd N
St Petersburg, FL 33710-4841 - Phone
- (727) 347-3284
- Fax
- (727) 347-4472
- NPI assigned
- Nov 10, 2010
- Last updated
- Nov 10, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jeffrey Thornton Smith, PH.D.
- Title
- President
- Phone
- (727) 347-3284
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY4531 | FL | Primary |
Addresses
Primary practice location
1905 Tyrone Blvd N
St Petersburg, FL 33710-4841
Mailing address
1905 Tyrone Blvd N
St Petersburg, FL 33710-4841
Phone (727) 347-3284
National Provider Directory
National Provider DirectoryLocations
1905 Tyrone Blvd N
St Petersburg, FL 33710
Phone (727) 308-1330
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- St Petersburg, FL
- NPI 1891891446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289347200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1289347200000",
"number": "1477854156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1905 TYRONE BLVD N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337104841",
"telephone_number": "727-347-3284",
"fax_number": "727-347-4472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1905 TYRONE BLVD N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337104841",
"telephone_number": "727-347-3284",
"fax_number": "727-347-4472"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEFFREY T. SMITH, PH.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-10",
"last_updated": "2010-11-10",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "THORNTON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "727-347-3284",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY4531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.