Active NPI
Brian Joseph Smith, PSY.D.
- Clinical Psychologist
- Atlanta, GA
National Provider Identifier
1780879320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2913
- Practice address
- 1827 Powers Ferry Road
Building 22, Suite 200
Atlanta, GA 30339 - Phone
- (770) 953-4744
- Fax
- (770) 953-4640
- NPI assigned
- Sep 6, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Psychologist | 103TC0700X | 2913 | TN | Primary |
Addresses
Primary practice location
1827 Powers Ferry Road
Building 22, Suite 200
Atlanta, GA 30339
Mailing address
1827 Powers Ferry Road
Building 22, Suite 200
Atlanta, GA 30339
Phone (770) 953-4744
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2913 | TN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hopewell Psychological Associates, PC | 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.
-
- Psychologist
- Atlanta, GA
- NPI 1437414927
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286409600000",
"number": "1780879320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1827 POWERS FERRY ROAD",
"address_2": "BUILDING 22, SUITE 200",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30339",
"telephone_number": "770-953-4744",
"fax_number": "770-953-4640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1827 POWERS FERRY ROAD",
"address_2": "BUILDING 22, SUITE 200",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30339",
"telephone_number": "770-953-4744",
"fax_number": "770-953-4640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "BRIAN",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-06",
"last_updated": "2010-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TN",
"license": "2913",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.