IndividualActive
Timothy Smith, PHD
NPI 1609528751 · Clinical Psychologist · Provo, UT
Provider details
- NPI number
- 1609528751
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 3094173-2501 (UT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
340 Mckb
Provo, UT 84602-5082
Phone: (801) 422-1311
Approximate (ZIP-level) locationGet directions
Mailing address
2364 Cambridge Cir
Provo, UT 84604-4181
Registry dates
- Enumerated
- 2022-01-20
- Last updated
- 2022-01-20
- Certified
- 2022-01-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.