Rachel Smith

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

232 Medea Way
Central Islip, NY 11722-4540

Phone

(631) 949-8772

NPI assigned

Jan 17, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1579219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579219200000",
    "number": "1144850231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 FICUS ST",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117763133",
            "telephone_number": "631-790-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 MEDEA WAY",
            "city": "CENTRAL ISLIP",
            "state": "NY",
            "postal_code": "117224540",
            "telephone_number": "631-949-8772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RACHEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-17",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "PortJeffersonStation",
            "affiliation": "N",
            "address_1": "18 Ficus St",
            "city": "Port Jefferson Station",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117763133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Theodore A Silver
• Karyn Rebecca Simchayof
• Carlo Simon Sr., TSHH
• Ramanjit Singh, PHARMD
• Tamara L Singletary
• Robert Taft Smith Jr., L.C.S.W.
• Marilyn C Solano-Foster, LCSW-R
• Southside Hospital
• Monique Souza
• Nicole B Souza, LMSW

• Behavior Analyst in Central Islip, NY
• Providers in Central Islip, NY by specialty
• Behavior Analyst in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; 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.