Active NPI
Cherryl Renee Smith, PH.D.
- Clinical Child & Adolescent Psychologist
- Washington, DC
National Provider Identifier
1689797755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- 1838
- Practice address
- 5000 14TH St NW
Washington, DC 20011-6926 - Phone
- (202) 722-5555
- Fax
- (202) 722-5554
- NPI assigned
- Apr 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY 1127 | DC | |
| Psychologist | 103T00000X | 0810-002552 | VA | |
| Psychologist | 103T00000X | 1838 | MD | |
| Clinical Psychologist | 103TC0700X | PSY 1127 | DC | |
| Clinical Psychologist | 103TC0700X | 0810-002552 | VA | |
| Clinical Psychologist | 103TC0700X | 1838 | MD | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | PSY 1127 | DC | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 0810-002552 | VA | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 1838 | MD | Primary |
Addresses
Primary practice location
5000 14TH St NW
Washington, DC 20011-6926
Mailing address
5500 Friendship Blvd
#1517N
Chevy Chase, MD 20815-7219
Phone (301) 907-4595
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1838 | MD | MD | Psychologist |
| 0810-002552 | VA | MD | Psychologist |
| PSY 1127 | DC | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Kingsbury Center Inc. | Psychologist | Past | 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 and National Provider Directory roles.
-
- Intellectual & Developmental Disabilities Psychologist
- Washington, DC
- NPI 1245351956
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1689797755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5500 FRIENDSHIP BLVD",
"address_2": "#1517N",
"city": "CHEVY CHASE",
"state": "MD",
"postal_code": "208157219",
"telephone_number": "301-907-4595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 14TH ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200116926",
"telephone_number": "202-722-5555",
"fax_number": "202-722-5554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "CHERRYL",
"middle_name": "RENEE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-06",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "DC",
"license": "PSY 1127",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "VA",
"license": "0810-002552",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MD",
"license": "1838",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "DC",
"license": "PSY 1127",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810-002552",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "1838",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "DC",
"license": "PSY 1127",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "VA",
"license": "0810-002552",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "MD",
"license": "1838",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.