DR. CLINTON JAMES SMITH PSYD
NPI 1164764932
Psychologist - Clinical Child & Adolescent in Dallas, TX

Q: What is Clinton Smith's NPI number?

The NPI number for Clinton Smith is 1164764932. It was assigned to this individual provider in the NPPES registry on March 20, 2013.

Q: What is Clinton Smith's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Q: When was this NPI record last updated?

The NPPES record for Clinton Smith was last updated on October 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 March 20, 2013PECOS Enrolled

1935 MEDICAL DISTRICT DR, DALLAS, TX 75235(214) 456-7000 Get Directions Write a Review

NPPES record last updated: October 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 10, 2023, Sep 18, 2018 (2 updates tracked since 2018).

On this page

About Dr. Clinton James Smith Psyd NPPES

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

DR. CLINTON JAMES SMITH PSYD (NPI 1164764932) is an individual clinical child & adolescent provider in Dallas, Texas, licensed in Texas (37944) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164764932

Entity TypeIndividualMale

Primary Taxonomy103TC2200X

Provider Legal NameDR. CLINTON JAMES SMITHCredential: PSYD

Location Address1935 MEDICAL DISTRICT DRDallas, TX 75235-7701

Mailing AddressPo Box 845347Dallas, TX 75284-5347 · (214) 645-0624 · Fax (214) 645-0078

Phone(214) 456-7000

Sole ProprietorYes

Enumeration DateMarch 20, 2013

Last NPPES UpdateOctober 10, 20232 updates tracked since enumeration

NPPES CertifiedOctober 10, 2023

✔ NPI 1164764932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

License✔ Licensed in TX · 37944

Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

1935 MEDICAL DISTRICT DR, Dallas, TX 75235

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Clinton James Smith Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

TERESA ANNA JONES CPNP-AC

Nurse Practitioner (Pediatrics)

1935 MEDICAL DISTRICT DR
DALLAS, TX 75235

Dallas County (973) 801-0173

CASSIE ANN LAURENCE PA-C

Physician Assistant

1935 MEDICAL DISTRICT DR
DALLAS, TX 75235

Dallas County (214) 456-7000

MICHELE WILLET RYLANDER RN, MSN, CPNP

Nurse Practitioner (Pediatrics)

1935 MEDICAL DISTRICT DR
DALLAS, TX 75235

Dallas County (214) 456-7000

MR. ADAM CHRISTOPHER WENNER CPNP-AC

Nurse Practitioner (Pediatrics, Critical Care)

1935 MEDICAL DISTRICT DR
DALLAS, TX 75235

Dallas County (469) 303-7000

RICHARD DAVID SENTELLE D.M.D./PH.D.

Student in an Organized Health Care Education/Training Program

1935 MEDICAL DISTRICT DR, GRADUATE MEDICAL EDUCATION
DALLAS, TX 75235

Dallas County (214) 456-2735

KELSEY NICOLE BURKHART PA

Physician Assistant

1935 MEDICAL DISTRICT DR
DALLAS, TX 75235

Dallas County (214) 456-7000

RENAE JEAN WHITE MD

Student in an Organized Health Care Education/Training Program

1935 MEDICAL DISTRICT DR
DALLAS, TX 75235

Dallas County (214) 456-2735

VICTORIA LEE CPNP-AC/PC

Nurse Practitioner (Pediatrics)

1935 MEDICAL DISTRICT DR
DALLAS, TX 75235

Dallas County (214) 456-7000

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 Clinton Smith's NPI number?

The NPI number for Clinton Smith is 1164764932. It was assigned to this individual provider in the NPPES registry on March 20, 2013.

Where is Clinton Smith located?

Clinton Smith practices at 1935 Medical District Dr, Dallas, TX 75235. The listed phone number is (214) 456-7000.

What is Clinton Smith's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Clinton Smith enrolled in Medicare?

Yes. Clinton Smith is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Clinton Smith was last updated on October 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.