Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1144671884 Individual Practitioner Male Practitioner

Dr. Derek James Smith , PhD

Psychologist • Harrison, ID

Professional Overview & Biography Verified Profile Summary

Dr. Derek Smith, PhD is a registered healthcare professional specializing in Psychologist in Harrison, ID. Practice services are available at 2853 E BENT TREE LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2853 E Bent Tree Ln

Harrison, ID 838338674

Telephone 2087557393

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Harrison, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.8 Yrs
Regional Practice Density
1 Specialists

Practicing in Harrison, ID (175 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-05-04
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License ID PSY-203364

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Psychologist

NUCC Taxonomy Code: 103T00000X

State License UT 11022713-2501

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location May 04, 2021

Registered at 2853 E BENT TREE LN, HARRISON, ID 838338674 (Tel: 2087557393)

📍
Updated Business Mailing Address May 04, 2021

Registered at 2853 E BENT TREE LN, HARRISON, ID 838338674 (Tel: 2087557393)

👤
Provider Name / Credentials Updated May 04, 2021

Recorded as DEREK SMITH, PH.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 04, 2021

Psychologist (License #11022713-2501 in UT)

NPI Profile Active June 23, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 23, 2016

Registered at 5689 S REDWOOD RD, SUITE 27, TAYLORSVILLE, UT 841235447 (Tel: 8012662485)

📍
Updated Business Mailing Address June 23, 2016

Registered at 5689 S REDWOOD RD, SUITE 27, TAYLORSVILLE, UT 841235447 (Tel: 8012662485)

👤
Provider Name / Credentials Updated June 23, 2016

Recorded as DEREK SMITH, M.ED.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 23, 2016

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 23, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1144671884
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 23, 2016
Last Update: May 04, 2021
Sole Proprietor: No

Mailing Address

2853 E Bent Tree Ln

Harrison, ID 838338674

Phone: 2087557393

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.