Organization Active NPI

Shena Smith, PH.D., PLLC

  • Psychologist
  • Lubbock, TX
National Provider Identifier
1487140695
Registry record updated Mar 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
36999 Issued in TX
Legal business name
SHENA SMITH, PH.D., PLLC
Practice address
2034 82ND St Unit 103
Lubbock, TX 79423-2395
Phone
(806) 482-1683
Fax
(806) 416-1683
NPI assigned
Jul 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2019

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

Authorized official

Name
Dr. Shena Smith, PH.D.NPI 1942679535
Title
Psychologist
Phone
(806) 482-1683

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 36999 TX Primary

Addresses

Primary practice location

2034 82ND St Unit 103
Lubbock, TX 79423-2395

Mailing address

2034 82ND St Unit 103
Lubbock, TX 79423-2395
Phone (806) 482-1683

Other practice location 1

6824 Wayne Ave
Lubbock, TX 79424-1649
Phone (806) 482-1683

National Provider Directory

National Provider Directory

Locations

6824 Wayne Ave
Lubbock, TX 79424
Phone (806) 482-1683

2034 82nd St
Unit 103
Lubbock, TX 79423
Phone (806) 482-1683

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.

NPI Registry JSON

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

{
    "created_epoch": "1531267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552262400000",
    "number": "1487140695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2034 82ND ST UNIT 103",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794232395",
            "telephone_number": "806-482-1683",
            "fax_number": "806-416-1683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2034 82ND ST UNIT 103",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794232395",
            "telephone_number": "806-482-1683",
            "fax_number": "806-416-1683"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6824 Wayne Ave",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794241649",
            "country_code": "US",
            "telephone_number": "806-482-1683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHENA SMITH, PH.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-11",
        "last_updated": "2019-03-11",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SHENA",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "806-482-1683",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "TX",
            "license": "36999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; 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.