Rebecca Anne Elliott Smith, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1381 Issued in LA

Practice address

4650 General de Gaulle Dr Ste 213
New Orleans, LA 70131-7172

Phone

(504) 434-2850

NPI assigned

Oct 21, 2016

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

Opted out of Medicare

Yes, effective May 13, 2024 through May 13, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1477008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608681600000",
    "number": "1992256200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 HIDALGO ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701242721",
            "telephone_number": "504-434-2850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 GENERAL DE GAULLE DR STE 213",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701317172",
            "telephone_number": "504-434-2850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "REBECCA",
        "middle_name": "ANNE ELLIOTT",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-21",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "LA",
            "license": "1381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Smith, ATC
• Patrick Emanuel Smith, LPC
• Rachelle Smith
• Raelanda Smith, MD
• Raychell Renee Smith, CNM
• Rena Darlene Smith, LCSW, LAC
• Richshell Marie Smith, WHNP-BC
• Roman Smith
• Russell William Smith, DMD
• Sally Smith, LPC

• Clinical Psychologist in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Clinical Psychologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.