Smith Psychological Services, PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SMITH PSYCHOLOGICAL SERVICES, PLLC

Practice address

2640 E League City Pkwy Ste 104
League City, TX 77573-3369

Phone

(409) 209-7511

NPI assigned

Nov 28, 2022

Last updated

May 5, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brent Warren Smith, PHD, LPNPI 1396147310

Title

Owner

Phone

(409) 209-7511

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brent Warren Smith, LP, PHD

  • Psychologist
  • League City, TX
  • NPI 1396147310
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683244800000",
    "number": "1891405106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 E LEAGUE CITY PKWY",
            "address_2": "STE 104 PMB 1050",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775733369",
            "telephone_number": "409-209-7511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 E LEAGUE CITY PKWY STE 104",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775733369",
            "telephone_number": "409-209-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH PSYCHOLOGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-28",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "WARREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-209-7511",
        "authorized_official_credential": "PHD, LP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Michael Skinner, M.D.
• Leah Marye Skladal
• Belinda Kay Skloss, LPC
• Sleep Well Southeast Texas LLC
• SMGS PC (Bay Colony EyeCare)
• Aspen Smith
• Brent Warren Smith, LP, PHD
• Danielle Justine Smith, M.S., CCC-SLP
• Heath Michael Smith, D.D.S.
• Ingrid Euphemia Smith, MS,CCC-SLP

• Community/Behavioral Health Agency in League City, TX
• Providers in League City, TX by specialty
• Community/Behavioral Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.