Active NPI
Jasper Smits, PH.D.
- Clinical Psychologist
- Austin, TX
National Provider Identifier
1871869495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 33238
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 33238 | TX | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Clinical Psychologist
- Dallas, TX
- NPI 1215201876
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.