Christopher Smith

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

014204 Issued in NY

Practice address

54 Tuscarora Dr
Centerport, NY 11721-1553

Phone

(516) 448-5172

NPI assigned

Jan 24, 2007

Last updated

Aug 12, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1497800775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 TUSCARORA DR",
            "city": "CENTERPORT",
            "state": "NY",
            "postal_code": "117211553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 TUSCARORA DR",
            "city": "CENTERPORT",
            "state": "NY",
            "postal_code": "117211553",
            "telephone_number": "516-448-5172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHRISTOPHER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "014204",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "014204",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alissa Beth Schwartz, LCSW
• Deborah G Seltzer
• Jennifer Wyckoff Shore, LMHC
• Alyson H Skinner, PHD
• Barbara Ann Smith, LMT
• Dina Smith, LCSW
• Catherine P. Stratton, REGISTERED DIETITIAN
• Donald Sturz
• Stacy Sullivan, MA,CCC/LSP
• Sunita M. Makhijani Physician PLLC

• Clinical Psychologist in Centerport, NY
• Providers in Centerport, 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 Aug 12, 2024; 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.