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Active NPI 1225126881 Individual Practitioner Male Practitioner

Dr. Patrick O Smith , PhD

Psychologist - Clinical • Jackson, MS

Professional Overview & Biography Verified Profile Summary

Dr. Patrick Smith, PhD is a registered healthcare professional specializing in Psychologist - Clinical in Jackson, MS. Practice services are available at 878 LAKELAND DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

878 Lakeland Dr

Jackson, MS 392164644

Telephone 6019846800
Fax 6019846812
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Clinical in Jackson, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.1 Yrs
State Avg: 27.4 Yrs
Regional Practice Density
49 Specialists

Practicing in Jackson, MS (177 Statewide)

Telehealth Adoption Rate
8.2% 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

Psychologist - Clinical Primary Specialty

NUCC Taxonomy Code: 103TC0700X

State License MS 32-480

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
03537326 (MS)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

27 Associated Practitioners
NPI 1003036252

Doctor of Osteopathic Medicine (D.O.)

Dr. Holly Peeples , MD

Family Medicine

NPI 1063503258

Doctor of Medicine (M.D.)

NPI 1104241660

Doctor of Medicine (M.D.)

NPI 1124382536

Doctor of Medicine (M.D.)

Dr. Chinedu Ifejiagwa , MD

Student in an Organized Health Care Education/Training Program

NPI 1124550819

Doctor of Medicine (M.D.)

Jonathan Lee

Family Medicine

NPI 1174904361

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 13, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location February 13, 2014

Registered at 878 LAKELAND DR, JACKSON, MS 392164644 (Tel: 6019846800)

📍
Updated Business Mailing Address February 13, 2014

Registered at PO BOX 4999, JACKSON, MS 392964999 (Tel: 6019845410)

👤
Provider Name / Credentials Updated February 13, 2014

Recorded as PATRICK SMITH, P.H.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 13, 2014

Psychologist (License #32-480 in MS)

🟢
Initial NPI Registration & Enumeration October 10, 2006

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: 1225126881
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 10, 2006
Last Update: February 13, 2014
Sole Proprietor: No

Mailing Address

Po Box 4999

Jackson, MS 392964999

Phone: 6019845410

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.