Vonceil Cornelius Smith, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

6707 Taylor Cir
Montgomery, AL 36117-7706

Phone

(334) 272-3889

NPI assigned

Oct 6, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Grace Point Behavioral LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Montgomery, AL
  • NPI 1720404619
  Medicare reassignment NPD
• Ground Up Behavioral Health LLC

  • Psychiatry Physician
  • Montgomery, AL
  • NPI 1902695661
  NPD
• Behavioral Medicine LLC

  • Mental Health Counselor
  • Montgomery, AL
  • NPI 1326423781
  NPD (past)
• David D Hall DO PC

  • Mental Health Counselor
  • Montgomery, AL
  • NPI 1730298340
  NPD (past)

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524700800000",
    "number": "1811985690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SOUTH TWINING STREET",
            "address_2": "BUILDING 760",
            "city": "MAXWELL AFB",
            "state": "AL",
            "postal_code": "361126219",
            "telephone_number": "334-953-4943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6707 TAYLOR CIR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177706",
            "telephone_number": "334-272-3889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "VONCEIL",
        "middle_name": "CORNELIUS",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-06",
        "last_updated": "2018-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890009810",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "051514378",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Staci Patrice Smith, CRNP
• Steven Michael Smith, CRNP
• Tabitha Harrison Smith, FNP-C
• Tiffany Renee Smith, CRNP
• Valerie Ann Smith, DO
• Warren Douglas Smith, PHARMD
• Wilburn Anthony Smith, MD
• William D Smith, MD
• Lindsey C. Smitherman, CRNA
• Nikki Renee Snead, RPH, PHARM.D.

• Psychologist in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Psychologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.