Individual provider Active NPI

Scott P. Smith, PH.D.

  • Clinical Psychologist
  • Jackson Heights, NY
National Provider Identifier
1831478171
Registry record updated Aug 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
014485 Issued in NY
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

Updated by the provider on Aug 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110812000242 NY Practitioner - Clinical Psychologist 0941479752 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
New York General Medical Services PC CurrentSince Dec 1, 2017 Accepting new patients
Hospitalist Healthcare Services PLLC CurrentSince May 14, 2014 Accepting new patients
NV Pacs 2 LLC CurrentSince Jul 1, 2021 Accepting new patients
Hospitalist Healthcare Services PLLC Clinical CurrentSince May 14, 2014 Accepting new patients
Hospitalist Healthcare Services PLLC Current Accepting new patients
CS Pacs 3 Northeast, LLC CurrentSince Jan 1, 2025 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.

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

Verify at the official NPI Registry.