Individual provider Active NPI

Tuesday L Smith

  • Clinical Psychologist
  • Arlington, VA
National Provider Identifier
1912220831
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810004686 Issued in VA
Practice address
1550 Wilson Blvd Ste 600
Arlington, VA 22209-2490
Phone
(703) 526-5837
NPI assigned
Mar 5, 2010
Last updated
Oct 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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 0810004686 VA Primary

Addresses

Primary practice location

1550 Wilson Blvd Ste 600
Arlington, VA 22209-2490

Mailing address

648 Kings Grant Rd
Virginia Beach, VA 23452-7036

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20130220000434 VA Practitioner - Clinical Psychologist 9537314620 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0810004686VAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Deer Oaks Southeast LLC Clinical CurrentSince Sep 24, 2025 Accepting new patients
Christian Psychotherapy Services Clinical PastSince Jun 1, 1999 Accepting new patients

Locations

7272 Wurzbach Rd
Ste 601
San Antonio, TX 78240
Phone (210) 615-3472

512 Houston St
Staunton, VA 24401
Phone (540) 886-2335

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1267747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1912220831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 KINGS GRANT RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 WILSON BLVD STE 600",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222092490",
            "telephone_number": "703-526-5837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TUESDAY",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-05",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810004686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.