Jessica Smith, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810004699 Issued in VA

Practice address

900 Commonwealth PL Ste 200-335
Virginia Beach, VA 23464-4517

Phone

(757) 708-8343

NPI assigned

Feb 13, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1392249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513209600000",
    "number": "1326462128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 COMMONWEALTH PL STE 200-335",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234644517",
            "telephone_number": "757-708-8343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 COMMONWEALTH PL STE 200-335",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234644517",
            "telephone_number": "757-708-8343"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4551 Professional Cir",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234556442",
            "country_code": "US",
            "telephone_number": "757-708-8343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-13",
        "last_updated": "2017-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810004699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Rae Smith, RBT, QMHPC
• James Ellis Smith, DC
• Jaquana Smith
• Jeffrey P Smith, MD
• Jennifer Nicole Smith
• Jessica M Smith
• Jessica R Smith, LMT
• Joanne Frances Smith, CRNA
• Joseph Byers Smith III
• Joseph Giro Smith, DPM

• Clinical Psychologist in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2017; 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.