Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Justin Mark Smith, PSYD

Individual provider Clinical Psychologist · NPI 1629765722

Dr. Justin Mark Smith, PSYD is a Clinical Psychologist in Mesa, Arizona. Practices as a sole proprietor. Licensed in Arizona, Michigan and Wisconsin.

Licensed in
AZ, MI, WI
In the registry since
2023
Specialties on file
3
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

1830 S Alma School Rd Ste 112
Mesa, AZ 85210-3086
Phone: (480) 730-6222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 003910 (AZ)
Clinical Psychologist Taxonomy 103TC0700X · Licence 6301019264 (MI)
Clinical Psychologist Taxonomy 103TC0700X · Licence 2612-57 (WI)

Record details

NPI number1629765722
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorYes
NPI enumeratedApril 19, 2023
Last updated in NPPESApril 19, 2023
Certification dateApril 19, 2023
Mailing address1830 S Alma School Rd Ste 112, Mesa, AZ 85210-3086

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