Active NPI
Brant Dean Smith, MFTI
- Marriage & Family Therapist
- San Bernardino, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT51632
- Practice address
- 820 E Gilbert St
San Bernardino, CA 92415-0928 - Phone
- (909) 387-7200
- Fax
- (909) 387-7717
- NPI assigned
- Oct 31, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT51632 | CA | Primary |
Addresses
Primary practice location
820 E Gilbert St
San Bernardino, CA 92415-0928
Mailing address
820 E Gilbert St
San Bernardino, CA 92415-0928
Phone (909) 387-7200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2068 Orange Tree LN
Suite 216
Redlands, CA 92374-4555
Phone (909) 557-6574
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT51632 | CA | MD | Marriage & Family Therapist |
| 51632 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of San Bernardino | Current | Accepting new patients | |
| County of San Bernardino | Current | Accepting new patients | |
| Spring to Autumn Family Counseling, Inc. | Marriage & Family Therapist | Current | Accepting new patients |
| County of San Bernardino | Current | Accepting new patients |
Locations
1275 W Park Ave
#7461
Redlands, CA 92373
2068 Orange Tree Ln
Ste 216
Redlands, CA 92374
Phone (909) 553-0448
11870 Pierce St
Ste 150
Riverside, CA 92505
Phone (909) 557-6574
820 E Gilbert St
Sn Bernrdno, CA 92415
303 E Vanderbilt Way
Sn Bernrdno, CA 92415
Phone (909) 388-0801
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Marriage & Family Therapist
- Redlands, CA
- NPI 1689056442
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Bernardino, CA
- NPI 1164467023
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Apple Valley, CA
- NPI 1346950904
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Bernardino, CA
- NPI 1417168246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430352000000",
"number": "1497934996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 E GILBERT ST",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924150928",
"telephone_number": "909-387-7200",
"fax_number": "909-387-7717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 E GILBERT ST",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924150928",
"telephone_number": "909-387-7200",
"fax_number": "909-387-7717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "BRANT",
"middle_name": "DEAN",
"name_prefix": "Mr.",
"credential": "MFTI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-31",
"last_updated": "2015-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT51632",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.