Elizabeth Nicole Smith, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

20043115A Issued in IN

Practice address

11800 S 75TH Ave Ste 300
Palos Heights, IL 60463-1064

Phone

(708) 671-8440

Fax

(708) 671-8664

NPI assigned

Mar 1, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mira Neuro Behavioral Health Care, LLC

  • Psychiatric Hospital
  • Tinley Park, IL
  • NPI 1518615749
  NPD (past)
• Miracare Neuro Behavioral Health, PC

  • Psychologist
  • Palos Heights, IL
  • NPI 1649329251
  NPD (past)

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

{
    "created_epoch": "1519862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1043712433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11800 S 75TH AVE STE 300",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631064",
            "telephone_number": "708-671-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11800 S 75TH AVE STE 300",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631064",
            "telephone_number": "708-671-8440",
            "fax_number": "708-671-8664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ELIZABETH",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-01",
        "last_updated": "2025-09-11",
        "certification_date": "2020-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20043115A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "071.010238",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janice Marie Skwarczyk, PT
• Amanda Jean Slater, PSYD
• Samantha Slutzky, OTR/L
• James Kenneth Smedegard, M.D.
• Smiles in Style LLC
• Kristin Joy Smith
• Kyla Nichelle Smith, M.D.
• Tamaar Smith
• Paul Sniezko
• Christen Snodgrass, M.S., CCC-SLP/L

• Clinical Psychologist in Palos Heights, IL
• Providers in Palos Heights, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.