MARK RANDALL SMITH PHD
NPI 1790779775
Psychologist in Hutchinson, MN

Active since September 07, 2005
904 HWY 15 SOUTH FRONTAGE RD., SUITE H, HUTCHINSON, MN 55350(320) 587-2939(320) 864-1927 Get Directions Write a Review

NPPES record last updated: October 30, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark Randall Smith Phd NPPES

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

MARK RANDALL SMITH PHD (NPI 1790779775) is an individual psychologist in Hutchinson, Minnesota, licensed in Minnesota (LP2907) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1790779775
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameMARK RANDALL SMITHCredential: PHD
Location Address904 HWY 15 SOUTH FRONTAGE RD., SUITE HHutchinson, MN 55350
Mailing Address904 Hwy 15 South Frontage Rd., Suite HHutchinson, MN 55350 · (320) 587-2939 · Fax (320) 864-1927
Fax(320) 864-1927
Sole ProprietorYes
Enumeration DateSeptember 7, 2005
Last NPPES UpdateOctober 30, 2008
NPI 1790779775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MN · LP2907
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
904 HWY 15 SOUTH FRONTAGE RD., Hutchinson, MN 55350

Other Identifiers 12

Medicaid262248300MN
Other53308SMMN · Bc
Other6120057United Beh Health
Other0004049Aetna
Other030701079Prime West Health Syst
Medicare ID-Type Unspecified689000145
Other98520IA · Bc
Other115129MN · Ucare
Other24981Health Partners
Medicare UPINR05215
Other112964Choice Plus
Other990991000146Preferred One/bhp

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 Mark Smith's NPI number?

The NPI number for Mark Smith is 1790779775. It was assigned to this individual provider in the NPPES registry on September 7, 2005.

Where is Mark Smith located?

Mark Smith practices at 904 Hwy 15 South Frontage Rd. Suite H, Hutchinson, MN 55350. The listed phone number is (320) 587-2939.

What is Mark Smith's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Mark Smith was last updated on October 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.