Active NPI
Sam Smith Hill III, PSY.D.
- Psychologist
- Corpus Christi, TX
National Provider Identifier
1700804002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 24923
- Practice address
- Driscoll Children'S Hospital
3533 S. Alameda St.
Corpus Christi, TX 78411 - Phone
- (361) 694-5000
- Fax
- (361) 694-4257
- NPI assigned
- Jul 17, 2006
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 24923 | TX | Primary |
Addresses
Primary practice location
Driscoll Children'S Hospital
3533 S. Alameda St.
Corpus Christi, TX 78411
Mailing address
3401 Ocean Dr Apt a
Corpus Christi, TX 78411-1466
Phone (361) 851-2444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1135377803 | Medicaid | TX |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24923 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Physician Services of South Texas | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Corpus Christi, TX
- NPI 1801856786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1700804002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3401 OCEAN DR APT A",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784111466",
"telephone_number": "361-851-2444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DRISCOLL CHILDREN'S HOSPITAL",
"address_2": "3533 S. ALAMEDA ST.",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "78411",
"telephone_number": "361-694-5000",
"fax_number": "361-694-4257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILL",
"first_name": "SAM",
"middle_name": "SMITH",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "24923",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1135377803",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.