Samantha Jean Smith, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY11769 Issued in FL

Practice address

7900 Little Rd
New Port Richey, FL 34654-5405

Phone

(727) 869-4100

NPI assigned

Feb 8, 2023

Last updated

Mar 16, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tampa Vamc

  • Department of Veterans Affairs (VA) Pharmacy
  • New Port Richey, FL
  • NPI 1952359879
  NPD

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

{
    "created_epoch": "1675814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1790482081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2138 LEMA DR",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346093850",
            "telephone_number": "732-877-6590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 LITTLE RD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346545405",
            "telephone_number": "727-869-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SAMANTHA",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-08",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY11769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Kristin Smith, RBT
• Miranda Grace Smith
• Norma Castaneda Smith, MACCC-SLP
• Patricia Corrine Smith
• Robert Lewis Smith Jr., M.D.
• Smith Brammer Smith, M.D.
• Steven Wayne Smith, MD
• Suzanne Marie Smith, B.S.W., I.T.D.S.
• Tyler John Smith, APRN
• Weber Lee Smith, M.D.

• Psychologist in New Port Richey, FL
• Providers in New Port Richey, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; 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.