Clear Direction Psychological Services PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

CLEAR DIRECTION PSYCHOLOGICAL SERVICES PLLC

Practice address

111 Smithtown Byp Ste 224
Hauppauge, NY 11788-2512

Phone

(631) 528-5880

Fax

(631) 528-5382

NPI assigned

Apr 6, 2020

Last updated

Apr 8, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth Jessica Smyth, PSY.D.NPI 1740631563

Title

Founder/Clinical Psychologist

Phone

(631) 528-5880

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elizabeth Jessica Smyth, PSY.D

  • Clinical Psychologist
  • Hauppauge, NY
  • NPI 1740631563
  NPD Authorized official

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

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586304000000",
    "number": "1144859794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 SMITHTOWN BYP STE 224",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117882512",
            "telephone_number": "631-528-5880",
            "fax_number": "631-528-5382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SMITHTOWN BYP STE 224",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117882512",
            "telephone_number": "631-528-5880",
            "fax_number": "631-528-5382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR DIRECTION PSYCHOLOGICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-06",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A",
        "authorized_official_last_name": "SMYTH",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "JESSICA",
        "authorized_official_title_or_position": "FOUNDER/CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "631-528-5880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OUT-OF-NETWORK PROVIDER",
            "identifier": "1740631563",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• City Medical of Upper East Side, PLLC
• City Medical of Upper East Side, PLLC (CityMD)
• Katelyn Anne Ciulla, LMHC
• Julianna Elizabeth Civello
• Maureen Clarke, MS, OTR/L
• Clinigene Laboratories, LLC
• Michele Coburn, MSPT
• Jenna Emily Cognetta
• Amy Cohen, NPP
• Beth J Cohen, DC

• Clinical Psychologist in Hauppauge, NY
• Providers in Hauppauge, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.