Provider Type Icon

DR. EZRA E SMITH PHD NPI 1124684865


NPI Information

NPI: 1124684865
Provider Name: DR. EZRA E SMITH, PHD
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
2450 E RIVER RD
TUCSON, AZ
ZIP 85718
Phone: (520) 795-7750
Get Directions

DR. Ezra E Smith, PHD is a clinical neuropsychologist in Tucson, AZ. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. DR. Ezra E Smith, PHD NPI is 1124684865. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2450 E RIVER RD
TUCSON, AZ
ZIP 85718-526
Phone: (520) 795-7750

The NPI 1124684865 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Neuropsychological testing evaluation by qualified health care professional, first 60 minutes (HCPCS:96132)
  • Psychiatric diagnostic evaluation (HCPCS:90791)

The enumeration date for this NPI number is 5/17/2019 and was last updated on 5/31/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103T00000XPsychologistPSY-005110ARIZONANo
2103TC0700XPsychologistClinicalPSY-005110ARIZONANo
3103G00000XClinical NeuropsychologistPSY-005110ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.