Individual provider Active NPI

Jasper Smits, PH.D.

  • Clinical Psychologist
  • Austin, TX
National Provider Identifier
1871869495
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
33238 Issued in TX
Practice address
2013 Peach Tree St
Austin, TX 78704-2840
Phone
(512) 810-0375
NPI assigned
Mar 28, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 33238 TX Primary

Addresses

Primary practice location

2013 Peach Tree St
Austin, TX 78704-2840

Mailing address

2013 Peach Tree St
Austin, TX 78704-2840
Phone (512) 810-0375

Other practice location 1

305 Deloss Dodds Way Ste 4.106
Austin, TX 78712-1804
Phone (512) 475-8095

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL NA.com Direct

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
33238TXMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas CBT PLLC Clinical 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.

NPI Registry JSON

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

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1871869495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2013 PEACH TREE ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787042840",
            "telephone_number": "512-810-0375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2013 PEACH TREE ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787042840",
            "telephone_number": "512-810-0375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 Deloss Dodds Way Ste 4.106",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787121804",
            "country_code": "US",
            "telephone_number": "512-475-8095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITS",
        "first_name": "JASPER",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-28",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "33238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NA.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2013 Peach Tree St",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787042840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; 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.