Individual provider Active NPI

Adam Smith, PHD

  • Psychologist
  • Staten Island, NY
National Provider Identifier
1013928795
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
011542 Issued in NY
Practice address
260 Christopher LN
Staten Island, NY 10314-1607
Phone
(718) 751-6750
Fax
(718) 494-5714
NPI assigned
Aug 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 011542 NY Primary

Addresses

Primary practice location

260 Christopher LN
Staten Island, NY 10314-1607

Mailing address

64 Greta PL
Staten Island, NY 10301-3839
Phone (718) 751-6750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070718000207 NY Practitioner - Clinical Psychologist 1153422357 Reassigns benefits to 1 organization
Practice locations: Staten Island, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Richmond Behavioral Associates, LLC CurrentSince Mar 25, 2024 Accepting new patients
Richmond Behavioral Wellness Physician PLLC PastSince Oct 6, 2024 Accepting new patients

Locations

260 Christopher Ln
Ste 3F
Staten Island, NY 10314
Phone (718) 317-5522

260 Christopher Ln
Staten Island, NY 10314
Phone (718) 317-5522

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768521600000",
    "number": "1013928795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 GRETA PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103013839",
            "telephone_number": "718-751-6750",
            "fax_number": "718-494-5714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 CHRISTOPHER LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103141607",
            "telephone_number": "718-751-6750",
            "fax_number": "718-494-5714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ADAM",
        "name_prefix": "Mr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "011542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.