Organization Active NPI

Dr. Rhaina a Smeds, PSYD Inc.

  • Clinical Psychologist
  • Ft. Pierce, FL
National Provider Identifier
1629329784
Registry record updated Sep 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY6704 Issued in FL
Legal business name
DR. RHAINA A SMEDS, PSYD INC.
Practice address
100 Ave a
Ste 2D
Ft. Pierce, FL 34950
Phone
(772) 485-4008
NPI assigned
Sep 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2012

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

Authorized official

Name
Rhaina A Smeds, PSYDNPI 1992998462
Title
Psychologist
Phone
(772) 485-4008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X PY6704 FL Primary

Addresses

Primary practice location

100 Ave a
Ste 2D
Ft. Pierce, FL 34950

Mailing address

100 Avenue a Ste 2D
Fort Pierce, FL 34950-4437
Phone (772) 485-4008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130424000591 FL Part B Supplier - Clinic/Group Practice 7214173038 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Pierce, FL

National Provider Directory

National Provider Directory

Locations

906 Delaware Ave
Fort Pierce, FL 34950
Phone (772) 202-5661

100 Avenue A
Ste 2D
Fort Pierce, FL 34950
Phone (772) 485-4008

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1348790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348790400000",
    "number": "1629329784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 AVENUE A STE 2D",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504437",
            "telephone_number": "772-485-4008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 AVE A",
            "address_2": "STE 2D",
            "city": "FT. PIERCE",
            "state": "FL",
            "postal_code": "34950",
            "telephone_number": "772-485-4008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. RHAINA A SMEDS, PSYD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-28",
        "last_updated": "2012-09-28",
        "status": "A",
        "authorized_official_last_name": "SMEDS",
        "authorized_official_first_name": "RHAINA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "772-485-4008",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft. Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.