Individual provider Active NPI

Yvette Joy Harris-Smith, PH.D.

  • Contractor
  • Farmingdale, NY
National Provider Identifier
1528835089
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
412597 Issued in NY
Practice address
500 Bi County Blvd Ste 450
Farmingdale, NY 11735-3995
Phone
(718) 264-1640
Fax
(718) 484-0538
NPI assigned
Dec 5, 2023
Last updated
Dec 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 412597 NY Primary

Addresses

Primary practice location

500 Bi County Blvd Ste 450
Farmingdale, NY 11735-3995

Mailing address

17224 133Rd Ave Apt 1F
Jamaica, NY 11434-3901
Phone (202) 350-0453

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
412597NYMDContractor

Practice roles

OrganizationSpecialtyStatusNew patients
New York Therapy Placement Services Inc PastSince Dec 10, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1701734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1528835089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17224 133RD AVE APT 1F",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114343901",
            "telephone_number": "202-350-0453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 BI COUNTY BLVD STE 450",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117353995",
            "telephone_number": "718-264-1640",
            "fax_number": "718-484-0538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS-SMITH",
        "first_name": "YVETTE",
        "middle_name": "JOY",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-05",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NY",
            "license": "412597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmingdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; 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.