Individual provider Active NPI

Shena Smith, PHD

  • Psychologist
  • Lubbock, TX
National Provider Identifier
1942679535
Registry record updated Mar 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
36999 Issued in TX
Practice address
2034 82ND St Unit 103
Lubbock, TX 79423
Phone
(806) 482-1683
Fax
(806) 416-7319
NPI assigned
Sep 24, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 36999 TX Primary

Addresses

Primary practice location

2034 82ND St Unit 103
Lubbock, TX 79423

Mailing address

2034 82ND St Unit 103
Lubbock, TX 79423-2395
Phone (806) 482-1683

Other practice location 1

4001 22nd St
Bldg 66
Lubbock, TX 79410
Phone (806) 725-7032

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
36999TXMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1443052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552262400000",
    "number": "1942679535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2034 82ND ST UNIT 103",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794232395",
            "telephone_number": "806-482-1683",
            "fax_number": "806-416-7319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2034 82ND ST UNIT 103",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "79423",
            "telephone_number": "806-482-1683",
            "fax_number": "806-416-7319"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4001 22nd St",
            "address_2": "Bldg 66",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "79410",
            "country_code": "US",
            "telephone_number": "806-725-7032",
            "fax_number": "806-723-7066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHENA",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-24",
        "last_updated": "2019-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "36999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; 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.