Andrea Lenore Smith, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

008666-1 Issued in NY

Practice address

153 E Main St
Suite G
Mount Kisco, NY 10549-2317

Phone

(914) 238-0375

Fax

(914) 238-0375

NPI assigned

May 4, 2007

Last updated

Jul 8, 2007By 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": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811109333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 COMMODORE RD",
            "city": "CHAPPAQUA",
            "state": "NY",
            "postal_code": "105142609",
            "telephone_number": "914-238-0375",
            "fax_number": "914-238-0375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 E MAIN ST",
            "address_2": "SUITE G",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105492317",
            "telephone_number": "914-238-0375",
            "fax_number": "914-238-0375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ANDREA",
        "middle_name": "LENORE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "008666-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth Leah Siskin, MD MPH
• Alan B Siskind, PH.D., LCSW
• Vivian Annette Sklar, LCSW
• Eric T Skolnick, MD
• Samantha Ann Skoparantzos, PA-C
• Michaela Sue Smith
• Aja Marie Snow, PA
• Mason Karl Soeder
• Diana H Soliman, MD
• Somers Orthopaedic Surgery & Sports Med Group PLLC

• Clinical Psychologist in Mount Kisco, NY
• Providers in Mount Kisco, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.