Active NPI
Katrina Raia-Smith, PH.D.
- School Psychologist
- Oviedo, FL
National Provider Identifier
1689869562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- SS1384
- Practice address
- 1000 W Broadway St Ste 214
Oviedo, FL 32765-9262 - Phone
- (407) 359-5693
- Fax
- (407) 792-5693
- NPI assigned
- Sep 13, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | SS1384 | FL | Primary |
Addresses
Primary practice location
1000 W Broadway St Ste 214
Oviedo, FL 32765-9262
Mailing address
100 Goldenrain CV
Winter Springs, FL 32708-6405
Phone (407) 687-3941
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 |
|---|---|---|---|
| SS1384 | FL | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525219200000",
"number": "1689869562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 GOLDENRAIN CV",
"city": "WINTER SPRINGS",
"state": "FL",
"postal_code": "327086405",
"telephone_number": "407-687-3941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 W BROADWAY ST STE 214",
"city": "OVIEDO",
"state": "FL",
"postal_code": "327659262",
"telephone_number": "407-359-5693",
"fax_number": "407-792-5693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAIA-SMITH",
"first_name": "KATRINA",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-13",
"last_updated": "2018-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "FL",
"license": "SS1384",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oviedo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.