Active NPI
Casey Kent Smith, MD, JD
- Psychiatry Physician
- New York, NY
National Provider Identifier
1316365612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 286071
- Practice address
- 102 Rivers Edge Rd
New York, NY 10035-1163 - Phone
- (646) 766-5871
- Fax
- (646) 517-3593
- NPI assigned
- Apr 3, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 286071 | NY | Primary |
Addresses
Primary practice location
102 Rivers Edge Rd
New York, NY 10035-1163
Mailing address
102 Rivers Edge Rd
D15B Office 1525a
New York, NY 10035-1163
Phone (646) 766-5871
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 5, 2023 through Apr 5, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Juris Doctor, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 286071 | NY | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762387200000",
"number": "1316365612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 RIVERS EDGE RD",
"address_2": "D15B OFFICE 1525A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100351163",
"telephone_number": "646-766-5871",
"fax_number": "646-517-3593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 RIVERS EDGE RD",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100351163",
"telephone_number": "646-766-5871",
"fax_number": "646-517-3593"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "CASEY",
"middle_name": "KENT",
"name_prefix": "Dr.",
"credential": "MD, JD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-04-03",
"last_updated": "2025-11-06",
"certification_date": "2025-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "286071",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.