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JERROLD T SMITH
NPI 1629160676
Counselor - Addiction (Substance Use Disorder) in Loma Linda, CA

Active since September 28, 2006
11201 BENTON ST, LOMA LINDA, CA 92357(909) 825-7084 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jerrold T Smith NPPES

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

JERROLD T SMITH (NPI 1629160676) is an individual addiction (substance use disorder) provider in Loma Linda, California and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1629160676
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJERROLD T SMITH
Location Address11201 BENTON STLoma Linda, CA 92357-1000
Mailing Address11201 Benton StLoma Linda, CA 92357-1000 · (909) 825-7084
Phone(909) 825-7084
Sole ProprietorNo
Enumeration DateSeptember 28, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1629160676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
11201 BENTON ST, Loma Linda, CA 92357
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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.

DR. PHAT NGO MD
Internal Medicine
11201 BENTON ST
LOMA LINDA, CA 92357
San Bernardino County (909) 825-7084
MS. NANCY R WHITNEY L.C.S.W.
Social Worker (Clinical)
11201 BENTON ST
LOMA LINDA, CA 92357
San Bernardino County (909) 825-7084
DR. DONALD GEORGE NESSMAN PHD
Psychologist (Clinical)
11201 BENTON ST
LOMA LINDA, CA 92357
San Bernardino County (909) 825-7084
DR. MICHAEL B. MASKIN PH.D.
Psychologist (Clinical)
11201 BENTON ST
LOMA LINDA, CA 92357
San Bernardino County (909) 825-7084
MRS. ROSEMARY SULLIVAN MA, OTR/L
Occupational Therapist
11201 BENTON ST
LOMA LINDA, CA 92357
San Bernardino County (909) 825-7084
MS. DEBORAH R ELLIS RN NP
Nurse Practitioner (Psychiatric/Mental Health)
11201 BENTON ST
LOMA LINDA, CA 92357
San Bernardino County (909) 583-6189
DR. SHIRLEY CHO KILIAN PHD
Psychologist (Clinical)
11201 BENTON ST
LOMA LINDA, CA 92357
San Bernardino County (909) 825-7084
MRS. VICKI ANN BRADLEY AUD
Audiologist-Hearing Aid Fitter
11201 BENTON ST
LOMA LINDA, CA 92357
San Bernardino County (909) 825-7084

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 Jerrold Smith's NPI number?

The NPI number for Jerrold Smith is 1629160676. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Where is Jerrold Smith located?

Jerrold Smith practices at 11201 Benton St, Loma Linda, CA 92357. The listed phone number is (909) 825-7084.

What is Jerrold Smith's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jerrold Smith was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.