Dr Derek James Smith, PHD is a
Psychologist based in Harrison, Idaho. Dr Derek James Smith is licensed to practice in Idaho (license number PSY-203364) and his current practice location is
2853 E Bent Tree Ln, Harrison, Idaho. He can be reached at his office (for appointments etc.) via phone at
(208) 755-7393.
NPI number for Dr Derek James Smith is 1144671884 and his current mailing address is 2853 E Bent Tree Ln, Harrison, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1144671884.
Healthcare Provider's Profile
| Full Name | Dr Derek James Smith |
|---|
| Gender | Male |
|---|
| Speciality | Psychologist |
|---|
| Location | 2853 E Bent Tree Ln, Harrison, Idaho |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1144671884
- Provider Enumeration Date: 06/23/2016
- Last Update Date: 05/04/2021
Medical Identifiers
Medical identifiers for Dr Derek James Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144671884 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | PSY-203364 (Idaho) | Primary |
| 103T00000X | Psychologist | 11022713-2501 (Utah) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Derek James Smith is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Derek James Smith, PHD
2853 E Bent Tree Ln,
Harrison, ID 83833-8674
Ph: (208) 755-7393 | Dr Derek James Smith, PHD
2853 E Bent Tree Ln,
Harrison, ID 83833-8674
Ph: (208) 755-7393 |
Reviews and Comments