Teresa Smith

Primary specialty

SpecialistTaxonomy code 174400000X

License

1175505 Issued in NY

Practice address

20 Dock LN
Wantagh, NY 11793-1814

Phone

(516) 509-4242

NPI assigned

Jul 1, 2014

Last updated

Jul 1, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1404172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404172800000",
    "number": "1770998593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 DOCK LN",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117931814",
            "telephone_number": "516-509-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 DOCK LN",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117931814",
            "telephone_number": "516-509-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TERESA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-01",
        "last_updated": "2014-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "1175505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Smith, M.S., CCC/SLP
• Gregory Smith, DO
• Julien Smith, LMHC
• Melissa Elizabeth Smith, LMHC
• Patricia Smith, MHC
• Ann Sobieski
• Julie Stacy Solarsh
• South Shore Counseling and Psychological Services P C
• South Shore Eye Care, LLP
• South Shore Long Island Periodontics and Implantology

• Specialist in Wantagh, NY
• Providers in Wantagh, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2014; 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.