Active NPI
Tara Smith, PH.D
- Psychologist
- New Providence, NJ
National Provider Identifier
1881039667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 35SI00503100
- Practice address
- 107 Central Ave
New Providence, NJ 07974-2602 - Phone
- (908) 246-5082
- NPI assigned
- May 7, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 35SI00503100 | NJ | Primary |
Addresses
Primary practice location
107 Central Ave
New Providence, NJ 07974-2602
Mailing address
107 Central Ave
New Providence, NJ 07974-2602
Phone (908) 246-5082
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35SI00503100 | NJ | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367884800000",
"number": "1881039667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 CENTRAL AVE",
"city": "NEW PROVIDENCE",
"state": "NJ",
"postal_code": "079742602",
"telephone_number": "908-246-5082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 CENTRAL AVE",
"city": "NEW PROVIDENCE",
"state": "NJ",
"postal_code": "079742602",
"telephone_number": "908-246-5082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "TARA",
"name_prefix": "Dr.",
"credential": "PH.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-07",
"last_updated": "2013-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NJ",
"license": "35SI00503100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Providence, NJ
- Swamini Sinha, MD, PHD
- Elizabeth Siracuse
- Erin Skotarczak, OT
- Lisamarie Slattery, LPC
- Faith Pauleen Smith, MSW, LSW
- Alexis A Sollaccio, DDS
- John Galian Souren III, DPT
- Specialized Speech Services of NJ
- Adrianna Marie Spinelli, APN
- Spring Grove Operator LLC (Spring Grove Rehabilitation and Healthcare Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.