Active NPI
Ronald Glenn Smith, PH.D.
- Clinical Psychologist
- Sheffield Village, OH
National Provider Identifier
1699961409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2909
- Practice address
- 5321 Meadow Lane CT
#5
Sheffield Village, OH 44035-0600 - Phone
- (440) 934-0250
- Fax
- (440) 934-0250
- NPI assigned
- Sep 15, 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 | 2909 | OH | Primary |
Addresses
Primary practice location
5321 Meadow Lane CT
#5
Sheffield Village, OH 44035-0600
Mailing address
5321 Meadow Lane CT
#5
Sheffield Village, OH 44035-0600
Phone (440) 934-0250
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 |
|---|---|---|---|
| 2909 | OH | MD | Audiologist-Hearing Aid Fitter |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189814400000",
"number": "1699961409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5321 MEADOW LANE CT",
"address_2": "#5",
"city": "SHEFFIELD VILLAGE",
"state": "OH",
"postal_code": "440350600",
"telephone_number": "440-934-0250",
"fax_number": "440-934-0250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5321 MEADOW LANE CT",
"address_2": "#5",
"city": "SHEFFIELD VILLAGE",
"state": "OH",
"postal_code": "440350600",
"telephone_number": "440-934-0250",
"fax_number": "440-934-0250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "RONALD",
"middle_name": "GLENN",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-15",
"last_updated": "2007-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "2909",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sheffield Village, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.