# SMITH PSYCHIATRY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Smith Psychiatry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023870763
- **Authorized official:** MASON SMITH (CEO)
- **Authorized official phone:** (602) 909-4701

## Contact information

- **Practice address:** 12212 N PARADISE VILLAGE PKWY S APT 143, PHOENIX, AZ 85032-7647
- **Practice address phone:** (602) 800-4699
- **Mailing address:** 836 SOUTHAMPTON RD STE B115, BENICIA, CA 94510-1961
- **Mailing address phone:** (602) 800-4699

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 01/29/2024
- **Last updated:** 01/29/2024