Active NPI
James Joseph Smith, PH.D.
- Clinical Psychologist
- Parkville, MD
National Provider Identifier
1669596276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 02241
- Practice address
- 2914 E Joppa Rd
Suite 100
Parkville, MD 21234-3031 - Phone
- (410) 321-6655
- Fax
- (410) 529-1799
- NPI assigned
- Mar 19, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 02241 | MD | Primary |
Addresses
Primary practice location
2914 E Joppa Rd
Suite 100
Parkville, MD 21234-3031
Mailing address
2914 E Joppa Rd
Suite 100
Parkville, MD 21234-3031
Phone (410) 321-6655
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02241 | Other | MD | PSYCHOLOGY LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02241 | MD | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523923200000",
"number": "1669596276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2914 E JOPPA RD",
"address_2": "SUITE 100",
"city": "PARKVILLE",
"state": "MD",
"postal_code": "212343031",
"telephone_number": "410-321-6655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2914 E JOPPA RD",
"address_2": "SUITE 100",
"city": "PARKVILLE",
"state": "MD",
"postal_code": "212343031",
"telephone_number": "410-321-6655",
"fax_number": "410-529-1799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "JAMES",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-19",
"last_updated": "2018-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "02241",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PSYCHOLOGY LICENSE",
"identifier": "02241",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Parkville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.