Jennifer Smith Psychologist PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

015747 Issued in NY

Legal business name

JENNIFER SMITH PSYCHOLOGIST PC

Practice address

12904 Newport Ave
Rockaway Park, NY 11694-1617

Phone

(347) 523-5321

NPI assigned

Jun 29, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer L Smith, PHDNPI 1982026100

Title

Clinical Psychologist

Phone

(917) 355-2031

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Smith, PHD

  • Clinical Psychologist
  • Rockaway Park, NY
  • NPI 1982026100
  Medicare reassignment NPD Authorized official
• Peter Andrew Galvin, MD

  • Internal Medicine Physician
  • Rockaway Park, NY
  • NPI 1962588731
  NPD (past)
• Michael Salamatbad, D.O.

  • Family Medicine Physician
  • Great Neck, NY
  • NPI 1316104086
  NPD (past)
• Mark Stanley Skalski, MD

  • Internal Medicine Physician
  • Springfield, MA
  • NPI 1467676478
  NPD (past)

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669939200000",
    "number": "1235650201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 POINT BREEZE AVE",
            "city": "BREEZY POINT",
            "state": "NY",
            "postal_code": "116971621",
            "telephone_number": "917-355-2031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12904 NEWPORT AVE",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "116941617",
            "telephone_number": "347-523-5321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER SMITH PSYCHOLOGIST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-29",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "917-355-2031",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "015747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Jamin, MD
• Yvonne Jankie, L.M.T
• Jay K. Mehlman, MD, PC
• Jeffrey F Zwerling MD PC
• Kimberly L Jenkins I
• John J Schilling DPM PC
• Carmelite Marie Joseph-Jules, RPH
• Lauren Judge
• Junear H. Rajwant Occupational Therapist, P.C.
• Stanislav Kaminyar, D.O

• Clinical Psychologist in Rockaway Park, NY
• Providers in Rockaway Park, 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 Dec 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.