Dr Thomas D Smith, PHD | |
13193 Central Ave, 200, Chino, CA 91710-4179 | |
(909) 902-9111 | |
(909) 902-9199 |
Full Name | Dr Thomas D Smith |
---|---|
Gender | Male |
Speciality | Psychologist - Clinical |
Location | 13193 Central Ave, Chino, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275817322 | NPI | - | NPPES |
PENDING | Other | CA | CAQH PENDING |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PSY22044 (California) | Primary |
Entity Name | Health Service Alliance |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801307368 PECOS PAC ID: 4587642467 Enrollment ID: O20040708000369 |
Entity Name | Foothills Psychological Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336121888 PECOS PAC ID: 9436157534 Enrollment ID: O20100318000835 |
Entity Name | Foothills Psychological Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336121888 PECOS PAC ID: 9436157534 Enrollment ID: O20100414000905 |
Mailing Address | Practice Location Address |
---|---|
Dr Thomas D Smith, PHD 13193 Central Ave, 200, Chino, CA 91710-4179 Ph: (909) 902-9111 | Dr Thomas D Smith, PHD 13193 Central Ave, 200, Chino, CA 91710-4179 Ph: (909) 902-9111 |
Dr. David Chuquimia, Psychologist Medicare: Medicare Enrolled Practice Location: 14901 Central Ave, Chino, CA 91710 Phone: 909-597-1821 | |
Dr. Theresa Marie Darrington, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 4091 Riverside Dr, Ste 117, Chino, CA 91710 Phone: 909-287-3423 Fax: 909-902-0894 | |
Dr. Teri Renee Clipps, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 14901 Central Ave, Chino, CA 91710 Phone: 909-597-1821 | |
Dr. Cathryn Irena Harris, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12530 10th St, Suite D, Chino, CA 91710 Phone: 909-596-3577 Fax: 909-593-6456 | |
Randall Stewat Norris, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 14901 Central Ave, Chino, CA 91710 Phone: 909-606-7226 | |
Dr. Jodi Raye Cabrera, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 14901 Central Ave, Chino, CA 91710 Phone: 909-597-1821 | |
Dr. Stephanie Dianne Griffone, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 15180 Euclid Ave, Chino, CA 91710 Phone: 909-606-5000 Fax: 909-606-5075 |