Russell Joseph Smith, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

30586 Issued in TX

Practice address

3478 Catclaw Dr
112
Abilene, TX 79606-8224

Phone

(325) 370-9541

NPI assigned

Jul 19, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Psychspring, P.L.L.C.

  • Psychologist
  • San Angelo, TX
  • NPI 1487868543
  NPD (past)
• Psychological Associates of Rock Hill

  • Clinical Psychologist
  • Rock Hill, SC
  • NPI 1750556486
  NPD (past)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811916778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3478 CATCLAW DR",
            "address_2": "112",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796068224",
            "telephone_number": "325-370-9541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3478 CATCLAW DR",
            "address_2": "112",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796068224",
            "telephone_number": "325-370-9541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RUSSELL",
        "middle_name": "JOSEPH",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "30586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "C5759",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Quint Howard Smith, PA-C
• Rachel Denise Smith, M.S., CCC-SLP
• Rebecca Smith, LVN
• Rebecca Smith, FNP-C
• Richard Stan Smith, DDS
• Shayli Anne Smith, OTR
• Stanley Montgomery Smith, DDS
• Steven Smith, M.D.
• Tonya J. Smith
• Tracy Smith

• Clinical Psychologist in Abilene, TX
• Providers in Abilene, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.