Derek James Smith, PH.D.
Psychologist · Harrison, ID
Practice location
2853 E Bent Tree LnHarrison, ID 83833-8674
- Phone
- (208) 755-7393
NPI record
- NPI
- 1144671884
- Entity type
- Individual (Type 1)
- Enumeration date
- June 23, 2016
- Last updated
- May 4, 2021
- Certified
- May 4, 2021
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X |
PSY-203364 | ID |
| Psychologist | 103T00000X |
11022713-2501 | UT |
About Dr. Smith
Derek James Smith, PH.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Psychologist (code 103T00000X). The practice location is 2853 E Bent Tree Ln, Harrison, ID 83833-8674. The NPI number 1144671884 was assigned on June 23, 2016 and the record was last updated on May 4, 2021.
Dr. Smith lists 2 licenses in the registry: #PSY-203364 (ID) for Psychologist; #11022713-2501 (UT) for Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Derek James Smith, PH.D.?
The NPI number is 1144671884.
What is the phone number of Dr. Smith?
The phone number listed for the practice location is (208) 755-7393.
Where is Dr. Smith located?
2853 E Bent Tree Ln, Harrison, ID 83833-8674.
What is the taxonomy code for Dr. Smith?
The primary taxonomy code is 103T00000X – Psychologist; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.