Julie Bullard Smallman, PHD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PSY1000678 Issued in DC

Practice address

3301 New Mexico Ave NW
Washington, DC 20016-3622

Phone

(202) 537-6155

NPI assigned

May 22, 2018

Sex

Female

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

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1508357906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 NEW MEXICO AVE NW STE 221",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200163610",
            "telephone_number": "202-537-6155",
            "fax_number": "202-537-6055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 NEW MEXICO AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200163622",
            "telephone_number": "202-537-6155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALLMAN",
        "first_name": "JULIE",
        "middle_name": "BULLARD",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-22",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "DC",
            "license": "PSY1000678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacinda Chauntel Small, PHARMD
• Jamie Elizabeth Small, RN
• Tappi Small
• Treonte Small, RN
• Darlene P Smallman, MD
• Crystal Smalls-Gonzales, PA
• Chiquita Smalls
• Grace Angela Smalls
• Norma M Smalls, MD
• Larissa Linette Smallwood

• Clinical Neuropsychologist in Washington, DC
• Providers in Washington, DC by specialty
• Clinical Neuropsychologist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.