Lynda B Smith, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

001978 Issued in CT

Practice address

24 Channing Street
New London, CT 06320-5735

Phone

(860) 389-2668

Fax

(860) 437-2153

NPI assigned

Dec 13, 2006

Last updated

Jul 29, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

Specialty

Clinical Psychologist

Education

George Washington University School of Medicine, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Connecticut Psychiatric Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • New London, CT
  • NPI 1255572079
  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1194886176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 CHANNING STREET",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063205735",
            "telephone_number": "860-389-2668",
            "fax_number": "860-437-2153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 CHANNING STREET",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063205735",
            "telephone_number": "860-389-2668",
            "fax_number": "860-437-2153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LYNDA",
        "middle_name": "B",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CT",
            "license": "001978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Wilson Smead III, M.D.
• Bryan D Smedley, HEALTH SERVICE TECH
• Smiles of Hartford LLC
• Ashley Smith, PHARMD
• Christopher Jason Smith, MSPT
• Stephen Robert Smith, M.D.
• Teresa Little Smith, APRN
• David Mark Snyderman, D.D.S.
• Emily Soares, BA
• Stephen Daniel Socha, FNP-C

• Psychologist in New London, CT
• Providers in New London, CT by specialty
• Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.