Rosalyn S Smith, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

005782 1 Issued in NY

Practice address

333 Park Ave S
3D
New York, NY 10010-2906

Phone

(212) 388-1903

Fax

(212) 388-0767

NPI assigned

Apr 17, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Empress Ambulance Service LLC

  • Ambulance
  • Yonkers, NY
  • NPI 1003878596
  NPD (past)
• Lifespire, Inc.

  • Voluntary or Charitable Agency
  • Hollis, NY
  • NPI 1164629788
  NPD (past)
• Lifespire, Inc.

  • Clinic/Center
  • New York, NY
  • NPI 1497709166
  NPD (past)

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982820296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 HILLSIDE AVE",
            "address_2": "C1",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067102139",
            "telephone_number": "203-755-0455",
            "fax_number": "203-755-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 PARK AVE S",
            "address_2": "3D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100102906",
            "telephone_number": "212-388-1903",
            "fax_number": "212-388-0767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ROSALYN",
        "middle_name": "S",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "005782 1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert L Smith, M.D.
• Robert Mathew Smith, M.D.
• Robin Smith, MD
• Rochelle Finkelstein Smith, R.N.
• Roland Theodore Smith, M.D.
• Ruby Leigh Smith, LMHC
• Ruth Edith Smith, MD
• Ryan Joseph Smith, L.AC.
• Samantha Smith
• Samantha Lauren Smith

• Clinical Psychologist in New York, NY
• Providers in New York, NY by specialty
• Clinical Psychologist in New York

• 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.