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MR. DYLAN JOHN MCCLISH-SMITH
NPI 1144081167
Student in an Organized Health Care Education/Training Program in Phoenix, AZ

Active since January 17, 2024
5040 E SHEA BLVD, SUITE #164, PHOENIX, AZ 85028(480) 641-1165 Get Directions Write a Review

NPPES record last updated: January 17, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Dylan John Mcclish-smith NPPES

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

MR. DYLAN JOHN MCCLISH-SMITH (NPI 1144081167) is an individual student in an organized health care education/training program in Phoenix, Arizona and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1144081167
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. DYLAN JOHN MCCLISH-SMITH
Location Address5040 E SHEA BLVD, SUITE #164Phoenix, AZ 85028
Mailing Address4713 E Van Buren St Unit 2019Phoenix, AZ 85008-0003 · (520) 250-6603
Phone(480) 641-1165
Sole ProprietorNo
Enumeration DateJanuary 17, 2024
NPPES CertifiedJanuary 15, 2024
✔ NPI 1144081167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

5040 E SHEA BLVD, Phoenix, AZ 85028
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Other Providers at the Same Location NPPES 4

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

MS. SHANNON KEATING BHT
Counselor (Professional)
5040 E SHEA BLVD, SUITE #164
PHOENIX, AZ 85028
Maricopa County (480) 641-1165
WHISPER GAILEY
Counselor (Mental Health)
5040 E SHEA BLVD, #164
PHOENIX, AZ 85028
Maricopa County (480) 641-1165
KENT ALLAN BAUMHOVER
Counselor
5040 E SHEA BLVD, SUITE 164
PHOENIX, AZ 85028
Maricopa County (480) 641-1165
TIFFANI ROBINSON
Counselor (Mental Health)
5040 E SHEA BLVD, 164
PHOENIX, AZ 85028
Maricopa County (480) 690-9532

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dylan Mcclish-smith's NPI number?

The NPI number for Dylan Mcclish-smith is 1144081167. It was assigned to this individual provider in the NPPES registry on January 17, 2024.

Where is Dylan Mcclish-smith located?

Dylan Mcclish-smith practices at 5040 E Shea Blvd Suite #164, Phoenix, AZ 85028. The listed phone number is (480) 641-1165.

What is Dylan Mcclish-smith's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Dylan Mcclish-smith was last updated on January 17, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.