Organization Active NPI

Constructive Psychiatry, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Boca Raton, FL
National Provider Identifier
1679344170
Registry record updated Sep 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
CONSTRUCTIVE PSYCHIATRY, LLC
Doing business as
drsmallwood.com
Practice address
150 E Palmetto Park Rd Ste 800
Boca Raton, FL 33432-4833
Phone
(561) 203-9707
Fax
(833) 574-6120
NPI assigned
Jan 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2024

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

Authorized official

Name
Dr. Christopher James Smallwood, PHD, PMHNP-BCNPI 1386935427
Title
Ceo, Clinician
Phone
(512) 222-7105

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

150 E Palmetto Park Rd Ste 800
Boca Raton, FL 33432-4833

Mailing address

12600 Hill Country Blvd Ste R130-302
Austin, TX 78738-6723
Phone (512) 995-8905

Other practice location 1

250 Fillmore St Unit 150
Denver, CO 80206-5001
Phone (561) 203-9707

Other practice location 2

1120 W University Ave Ste 200
Flagstaff, AZ 86001-2879
Phone (561) 203-9707

Other names 1

  • drsmallwood.com Doing business as

National Provider Directory

National Provider Directory

Locations

1495 Canyon Blvd
Boulder, CO 80302
Phone (800) 571-5613

12600 Hill Country Blvd
Ste R130302
Austin, TX 78738

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1705017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725235200000",
    "number": "1679344170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12600 HILL COUNTRY BLVD STE R130-302",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787386723",
            "telephone_number": "512-995-8905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E PALMETTO PARK RD STE 800",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334324833",
            "telephone_number": "561-203-9707",
            "fax_number": "833-574-6120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Fillmore St Unit 150",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802065001",
            "country_code": "US",
            "telephone_number": "561-203-9707",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1120 W University Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Flagstaff",
            "state": "AZ",
            "postal_code": "860012879",
            "country_code": "US",
            "telephone_number": "561-203-9707",
            "fax_number": "833-574-6120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CONSTRUCTIVE PSYCHIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-12",
        "last_updated": "2024-09-02",
        "certification_date": "2024-09-02",
        "status": "A",
        "authorized_official_last_name": "SMALLWOOD",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CEO, CLINICIAN",
        "authorized_official_telephone_number": "512-222-7105",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "drsmallwood.com",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "drsmallwood.com",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2024; 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.