RAPHAEL G SMITH PSY D, HSPP
NPI 1093792392
Psychologist - Clinical in Kansas City, MO

Q: What is Raphael Smith's NPI number?

The NPI number for Raphael Smith is 1093792392. It was assigned to this individual provider in the NPPES registry on December 28, 2005.

Q: What is Raphael Smith's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Raphael Smith was last updated on February 11, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 28, 2005

4044 CENTRAL ST, KANSAS CITY, MO 64111(816) 960-4525 Get Directions Write a Review

NPPES record last updated: February 11, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Raphael G Smith Psy D, Hspp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAPHAEL G SMITH PSY D, HSPP (NPI 1093792392) is an individual clinical provider in Kansas City, Missouri, licensed in Missouri (2009038103) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1093792392

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameRAPHAEL G SMITHCredential: PSY D, HSPP

Location Address4044 CENTRAL STKansas City, MO 64111-2228

Mailing Address4044 Central StKansas City, MO 64111-2228 · (816) 960-4525

Phone(816) 960-4525

Sole ProprietorYes

Enumeration DateDecember 28, 2005

Last NPPES UpdateFebruary 11, 2010

✔ NPI 1093792392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in MO · 2009038103✔ Licensed in IN · 20041042A

Definition

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.

4044 CENTRAL ST, Kansas City, MO 64111

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Other Identifiers 4

Other343420IN · Mhn

Medicaid200095120IN

Medicare PIN444530VIN

Other000000188733IN · Anthem Blue Cross

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. CYNTHIA LOUISE WATSON LSCSW

Social Worker (Clinical)