Individual provider Active NPI

Rhaina A Smeds, PSYD

  • Psychologist
  • Fort Pierce, FL
National Provider Identifier
1992998462
Registry record updated Dec 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY6704 Issued in FL
Practice address
100 Avenue a Ste 2D
Fort Pierce, FL 34950
Phone
(772) 485-4008
Fax
(772) 334-0225
NPI assigned
Aug 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY6704 FL
Group Psychotherapy Psychologist 103TP2701X PY6704 FL
Psychologist 103T00000X PY6704 FL Primary

Addresses

Primary practice location

100 Avenue a Ste 2D
Fort Pierce, FL 34950

Mailing address

100 Avenue a Ste 2D
Fort Pierce, FL 34950-4437
Phone (772) 485-4008

Other practice location 1

940 NE Jensen Beach Blvd
Jensen Beach, FL 34957-4704
Phone (772) 485-4008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20091102000093 FL Practitioner - Clinical Psychologist 4880731397 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

906 Delaware Ave
Fort Pierce, FL 34950-8518
Phone (772) 485-4008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY6704FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Rhaina a Smeds, PSYD Inc. Clinical CurrentSince Jan 7, 2013 Accepting new patients
Center for Speech and Language, T.C,, Inc. PastSince Jan 1, 2015 Accepting new patients

Locations

906 Delaware Ave
Fort Pierce, FL 34950
Phone (772) 202-5661

100 Avenue A
Ste 2D
Fort Pierce, FL 34950
Phone (772) 485-4008

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1187481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543881600000",
    "number": "1992998462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 AVENUE A STE 2D",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504437",
            "telephone_number": "772-485-4008",
            "fax_number": "772-334-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 AVENUE A STE 2D",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "34950",
            "telephone_number": "772-485-4008",
            "fax_number": "772-334-0225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "940 NE Jensen Beach Blvd",
            "address_purpose": "LOCATION",
            "city": "Jensen Beach",
            "state": "FL",
            "postal_code": "349574704",
            "country_code": "US",
            "telephone_number": "772-485-4008",
            "fax_number": "772-334-0225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMEDS",
        "first_name": "RHAINA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-19",
        "last_updated": "2018-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6704",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "FL",
            "license": "PY6704",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY6704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

Verify at the official NPI Registry.