DR. MAURICE BRADLEY SMITH PH.D.L.P. NPI 1467547257

NPI Information

  • NPI: 1467547257
  • Provider Name: DR. MAURICE BRADLEY SMITH, PH.D.,L.P.
  • Classification: Psychologist - 103TC0700X
  • Specialization: Clinical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1935 COUNTY ROAD B2 W STE 270
    ROSEVILLE, MN
    ZIP 55113
  • Phone: (651) 481-0664

Map and Directions

Get Directions

NPI Details

DR. Maurice Bradley Smith, PH.D.,L.P. is a clinical psychologist in Roseville, MN with 38 years of experience. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. DR. Maurice Bradley Smith, PH.D.,L.P. NPI is 1467547257. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1988

The provider's business location address is:

1935 COUNTY ROAD B2 W STE 270
ROSEVILLE, MN
ZIP 55113-785
Phone: (651) 481-0664
Fax: (651) 846-5877

The NPI 1467547257 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 enumeration date for this NPI number is 10/4/2006 and was last updated on 2/6/2019.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC0700XPsychologistClinicalLP0783MINNESOTAYes
2103TM1800XPsychologistIntellectual and Developmental DisabilitiesLP0783MINNESOTANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
127F90SMOTHERMINNESOTABLUE CROSS/BLUE SHIELD
2680016304OTHERMINNESOTARAIL ROAD MEDICARE
3HP21325OTHERMINNESOTAHEALTH PARTNERS INSURANCE
46150656OTHERMINNESOTAMEDICA/UNITED BEH. HEALTH
5092353200MEDICAIDMINNESOTA

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: 11/21/2025

NPI Synchronization or Removal

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.

Previous NPI
Next NPI