Deborah Dimmick Smith, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1078 Issued in CO

Practice address

8751 E Hampden Ave Ste B9
Denver, CO 80231-4929

Phone

(613) 650-7614

NPI assigned

Sep 26, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Deborah K Smith Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1720639115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8751 E HAMPDEN AVE STE B9",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802314929",
            "telephone_number": "613-650-7614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8751 E HAMPDEN AVE STE B9",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802314929",
            "telephone_number": "613-650-7614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DEBORAH",
        "middle_name": "DIMMICK",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-26",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "4813",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "1078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NPI",
            "affiliation": "N",
            "address_1": "8751 E Hampden Ave Ste B9",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802314929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "SMITH",
            "middle_name": "K",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cynthia Smith, R.PH
• Daley Smith
• Dana Nicole Smith, NP
• Danna Rae Smith, PT, DPT
• Deborah Bernice Smith, RN, BS, CWOCN
• Djanne Smith, LCSW
• Douglas Warren Smith, DDS
• Elizabeth Devon Smith, PHD
• Elliott Andrew Smith, D.C.
• Emily Babette Smith, OTR

• Clinical Psychologist in Denver, CO
• Providers in Denver, CO by specialty
• Clinical Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; 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.