Individual provider Active NPI

Chelsie K Smyth, PSYD

  • Clinical Neuropsychologist
  • Orlando, FL
National Provider Identifier
1225651425
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PY11674 Issued in FL
Practice address
13001 Founders Square Dr Ste 200
Orlando, FL 32828-7708
Phone
(321) 461-3202
Fax
(321) 204-6855
NPI assigned
May 21, 2020
Last updated
Jan 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PY11674 FL Primary
Clinical Psychologist 103TC0700X PY11674 FL

Addresses

Primary practice location

13001 Founders Square Dr Ste 200
Orlando, FL 32828-7708

Mailing address

13001 Founders Square Dr Ste 200
Orlando, FL 32828-7708
Phone (321) 461-3202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20221024001542 FL Practitioner - Clinical Psychologist 6709252315 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Medical Group IncGroup PAC ID 0749186153, 1,735 clinicians

Practice addresses (Care Compare)

2600 Westhall LN
Maitland, FL 32751-7102
Phone (407) 200-2700

615 E Princeton St
Suite 101
Orlando, FL 32803-1435
Phone (407) 236-0006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health, Inc. Current Accepting new patients
Florida Hospital Medical Group Inc Clinical Neuropsychologist CurrentSince Nov 6, 2023 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Oct 17, 2022 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Nov 6, 2023 Accepting new patients
Brainlogix Lab, LLC Clinical Neuropsychologist CurrentSince Nov 30, 2025 Accepting new patients
Orlando Health Medical Group Inc Clinical Neuropsychologist CurrentSince Oct 17, 2022 Accepting new patients

Locations

900 Hope Way
Forest City, FL 32714
Phone (407) 357-1255

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

100 W Gore St
Ste 405
Orlando, FL 32806
Phone (321) 841-9340

13001 Founders Square Dr
Ste 200
Orlando, FL 32828
Phone (321) 461-3202

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

615 E Princeton St
Ste 101
Orlando, FL 32803
Phone (407) 236-0006

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: csmyth391399@orlandohealth.medalliesdirect.net

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1225651425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13001 FOUNDERS SQUARE DR STE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328287708",
            "telephone_number": "321-461-3202",
            "fax_number": "321-204-6855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13001 FOUNDERS SQUARE DR STE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328287708",
            "telephone_number": "321-461-3202",
            "fax_number": "321-204-6855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMYTH",
        "first_name": "CHELSIE",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-21",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY11674",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY11674",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.