Active NPI
Darrell Smith, PH.D.
- Clinical Psychologist
- Brentwood, TN
National Provider Identifier
1881660967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- P2225
- Practice address
- 120 Balleroy Dr
Brentwood, TN 37027-4035 - Phone
- (615) 377-7797
- Fax
- (615) 377-7760
- NPI assigned
- Feb 27, 2006
- 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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | P2225 | TN | Primary |
| Counseling Psychologist | 103TC1900X | |||
| Family Psychologist | 103TF0000X | |||
| Cognitive & Behavioral Psychologist | 103TB0200X | |||
| Group Psychotherapy Psychologist | 103TP2701X | |||
| Psychologist | 103T00000X | |||
| Health Service Psychologist | 103TH0100X |
Addresses
Primary practice location
120 Balleroy Dr
Brentwood, TN 37027-4035
Mailing address
120 Balleroy Dr
Brentwood, TN 37027-4035
Phone (615) 377-7797
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 044370 | Other | TN | VALUEOPTIONS |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P2225 | TN | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188604800000",
"number": "1881660967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 BALLEROY DR",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370274035",
"telephone_number": "615-377-7797",
"fax_number": "615-377-7760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 BALLEROY DR",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370274035",
"telephone_number": "615-377-7797",
"fax_number": "615-377-7760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "DARRELL",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-27",
"last_updated": "2007-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TN",
"license": "P2225",
"primary": true
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUEOPTIONS",
"identifier": "044370",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brentwood, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.