Deborah Jean Smith, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY5675 Issued in FL

Practice address

711 Ballard St
Altamonte Springs, FL 32701-5441

Phone

(407) 331-1903

NPI assigned

Feb 12, 2007

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)

Enrolled

State licenses

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821130683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 LAKE WAUNATTA DR",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327928937",
            "telephone_number": "407-619-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 BALLARD ST",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327015441",
            "telephone_number": "407-331-1903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DEBORAH",
        "middle_name": "JEAN",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY5675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Sloan, BT
• Anna Christine Small, AP, DIPL. OM
• Smileluxe, PA
• Caroline Elizabeth Smith, D.P.M
• Ceasha Smith
• Kaitlyn Smith, OD
• Nancy Sue Williamson Smith, LCSW
• Shenell Smith
• Tasha Lee Smith, APRN
• Vernon S. Smith, DMD

• Clinical Psychologist in Altamonte Springs, FL
• Providers in Altamonte Springs, FL by specialty
• Clinical Psychologist in Florida

• 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.