Individual provider Active NPI

Linda Sapanski Smith, PH.D.

  • Clinical Psychologist
  • Manhasset, NY
National Provider Identifier
1568738680
Registry record updated Jul 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
020062-1 Issued in NY
Practice address
75 Plandome Rd Lowr Level
Manhasset, NY 11030-2303
Phone
(516) 384-6642
NPI assigned
Mar 23, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X
Clinical Psychologist 103TC0700X 020062-1 NY Primary

Addresses

Primary practice location

75 Plandome Rd Lowr Level
Manhasset, NY 11030-2303

Mailing address

75 Plandome Rd Lowr Level
Manhasset, NY 11030-2303
Phone (516) 384-6642

Other practice location 1

1025 Northern Blvd
Suite 300
Roslyn, NY 11576-1506
Phone (516) 729-6557

Other names 1

  • Dr. Linda Marie Sapanski Former name

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
020062-1NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Smith Psychology PLLC CurrentSince Aug 2, 2020 Accepting new patients

Locations

75 Plandome Rd
Lowr
Manhasset, NY 11030
Phone (516) 365-7192

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1332460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1568738680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 PLANDOME RD LOWR LEVEL",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110302303",
            "telephone_number": "516-384-6642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 PLANDOME RD LOWR LEVEL",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110302303",
            "telephone_number": "516-384-6642"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1025 Northern Blvd",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Roslyn",
            "state": "NY",
            "postal_code": "115761506",
            "country_code": "US",
            "telephone_number": "516-729-6557",
            "fax_number": "212-562-7434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LINDA",
        "middle_name": "SAPANSKI",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-23",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "020062-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "SAPANSKI",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Manhasset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; 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.