Active NPI
David S Smiley, PH.D.
- Clinical Psychologist
- Orlando, FL
National Provider Identifier
1235404179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY5007
- Practice address
- 16877 E Colonial Dr Ste 327
Orlando, FL 32820-1910 - Phone
- (858) 876-4539
- NPI assigned
- Mar 11, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY5007 | FL | |
| Forensic Psychologist | 103TF0200X | PY5007 | FL | |
| Clinical Psychologist | 103TC0700X | PY5007 | FL | Primary |
Addresses
Primary practice location
16877 E Colonial Dr Ste 327
Orlando, FL 32820-1910
Mailing address
16877 E Colonial Dr Ste 327
Orlando, FL 32820-1910
Phone (858) 876-4539
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Florida State University College of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
14315 Parkview CT
Orlando, FL 32826-5233
Phone (858) 876-4539
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686873600000",
"number": "1235404179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16877 E COLONIAL DR STE 327",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328201910",
"telephone_number": "858-876-4539",
"fax_number": "407-704-1787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16877 E COLONIAL DR STE 327",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328201910",
"telephone_number": "858-876-4539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMILEY",
"first_name": "DAVID",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-03-11",
"last_updated": "2023-06-16",
"certification_date": "2023-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "PY5007",
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "FL",
"license": "PY5007",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY5007",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; 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.