Randy J. Smith

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2514 Issued in TX

Legal business name

RANDY J. SMITH

Doing business as

Ellis County Psychological Services

Practice address

100 N College St
Suite 304
Waxahachie, TX 75165-3702

Phone

(972) 923-1131

Fax

(972) 923-1151

NPI assigned

Dec 10, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Randy J. Smith, PHDNPI 1336206457

Title

Psychologist

Phone

(972) 923-1131

Specialties & licenses 1

Addresses

Other names 1

• Ellis County Psychological Services Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Randy J. Smith, PHD

  • Psychologist
  • Waxahachie, TX
  • NPI 1336206457
  NPD (past) Authorized official

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

{
    "created_epoch": "1291939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292457600000",
    "number": "1861795957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N COLLEGE ST",
            "address_2": "SUITE 304",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751653702",
            "telephone_number": "972-923-1131",
            "fax_number": "972-923-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N COLLEGE ST",
            "address_2": "SUITE 304",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751653702",
            "telephone_number": "972-923-1131",
            "fax_number": "972-923-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDY J. SMITH",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-10",
        "last_updated": "2010-12-16",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "972-923-1131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "2514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ellis County Psychological Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alysen Ralstin, M.S.
• Sarah Lin Ramer, P.A.
• Marie Antonette A Ramos, MD
• Naustacia Danielle Ramsey
• Kellee Lorraine Randle, DO
• Brenda S Rapp, FNP
• Reagan Eye Center
• Red Oak Drug Clinical Services LLC
• Red Oak Drug Inc
• Vinai Yeruva Reddy, DO

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.

Verify at the official NPI Registry.