James Smith, PH.,D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

00942701 Issued in NY

Practice address

162 Main St
Cold Spring, NY 10516-2815

Phone

(845) 265-4338

NPI assigned

Feb 5, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Aging Matters Psychological Services, PC

  • Psychologist
  • White Plains, NY
  • NPI 1154337327
  NPD (past)

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295874634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 MAIN ST",
            "city": "COLD SPRING",
            "state": "NY",
            "postal_code": "105162815",
            "telephone_number": "845-265-4338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 MAIN ST",
            "city": "COLD SPRING",
            "state": "NY",
            "postal_code": "105162815",
            "telephone_number": "845-265-4338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "PH.,D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "00942701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE",
            "identifier": "00942701",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debora Santos-Watts, RPH
• Bradley Wayne Schultz, LCSW
• Lisa Marie Scicluna, CCC-SLP
• John-Roch Stephen Sears, PHARMD
• Eva Margaret Sharpe-Pollock, LCSW
• Sally A Smith
• Heidi Snyder, RPH
• Linda Spano, PHD
• Shannon Stewart, B.A
• Marianne B Sutton, MD

• All providers in Cold Spring, NY
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.