Active NPI
Scott P. Smith, PH.D.
- Clinical Psychologist
- Jackson Heights, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 014485
- Practice address
- 7005 35TH Ave
Jackson Heights, NY 11372-3970 - Phone
- (718) 662-5100
- Fax
- (718) 662-5102
- NPI assigned
- Aug 4, 2011
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 014485 | NY | Primary |
Addresses
Primary practice location
7005 35TH Ave
Jackson Heights, NY 11372-3970
Mailing address
303 Merrick Rd
Suite 204
Lynbrook, NY 11563-2501
Phone (800) 725-6280
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York General Medical Services PC | Current | Accepting new patients | |
| Hospitalist Healthcare Services PLLC | Current | Accepting new patients | |
| NV Pacs 2 LLC | Current | Accepting new patients | |
| Hospitalist Healthcare Services PLLC | Clinical | Current | Accepting new patients |
| Hospitalist Healthcare Services PLLC | Current | Accepting new patients | |
| CS Pacs 3 Northeast, LLC | Current | Accepting new patients | |
| Hospitalist Healthcare Services PLLC | Past | Accepting new patients |
Locations
3530 Wayne Ave
Bronx, NY 10467
Phone (718) 655-1700
111 E 210th St
Bronx, NY 10467
140 Saint Edwards St
Brooklyn, NY 11201
Phone (718) 858-6400
6411 Beach Channel Dr
Far Rockaway, NY 11692
Phone (718) 471-7010
574 Fulton St
Farmingdale, NY 11735
Phone (516) 694-9800
4241 201st St
Flushing, NY 11361
Phone (516) 599-5688
7005 35th Ave
Jackson Hts, NY 11372
Phone (718) 424-6800
303 Merrick Rd
Ste 204
Lynbrook, NY 11563
2090 Albany Post Rd
Montrose, NY 10548
Phone (914) 788-6003
420 E 76th St
New York, NY 10021
Phone (212) 434-5300
11030 221st St
Queens Vlg, NY 11429
Phone (631) 332-0686
17850 Linden Blvd
Rochdale Village, NY 11434
Phone (718) 990-0300
1 Elsie St
Rome, NY 13440
Phone (315) 336-4435
2902 Upper Tibbits Ave
Troy, NY 12180
Phone (518) 273-2040
100 Lake Rd
Vly Cottage, NY 10989
Phone (845) 268-6813
3 Barker Ave
Fl 4
White Plains, NY 10601
Phone (914) 949-7900
14310 20th Ave
Whitestone, NY 11357
Phone (718) 961-1212
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- White Plains, NY
- NPI 1275962011
-
- Hospitalist Physician
- New York, NY
- NPI 1700315538
-
- Internal Medicine Physician
- White Plains, NY
- NPI 1538598610
-
- Internal Medicine Physician
- White Plains, NY
- NPI 1902224520
Clinical
-
- Internal Medicine Physician
- White Plains, NY
- NPI 1700215886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312416000000",
"number": "1831478171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 MERRICK RD",
"address_2": "SUITE 204",
"city": "LYNBROOK",
"state": "NY",
"postal_code": "115632501",
"telephone_number": "800-725-6280",
"fax_number": "800-725-6380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7005 35TH AVE",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113723970",
"telephone_number": "718-662-5100",
"fax_number": "718-662-5102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "SCOTT",
"middle_name": "P.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-04",
"last_updated": "2011-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "014485",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.