Active NPIIndividual providerSole proprietor

Dr. Jill A Smith, PHD

Psychologist, Clinical in Nyack, New York

NPI Number1487984332
Practice location
99 Main St, Suite 115, Nyack, NY 10960-3109
Fax
—
Last updated
December 28, 2009

Jill Amy Smith is a Psychologist, Clinical based in Nyack, NY. Jill Amy Smith practices in Nyack, NY and has the professional credentials of PHD. The NPI Number for Jill Amy Smith is 1487984332 and holds a License No. 68 018413 (NY). The current practice location address for Jill Amy Smith is 99 Main St, Suite 115, Nyack, NY 10960-3109 and can be reached out via phone at 646-285-4562.

Provider Profile Details

NPI Number
1487984332
Provider Name
Jill Amy Smith
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
99 Main St, Suite 115, Nyack, NY 10960-3109
Phone Number
646-285-4562
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
December 28, 2009
Last Update Date
December 28, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
99 Main St
Suite 115
Nyack, NY 10960-3109
City
Nyack
Zip
10960-3109
Phone Number
646-285-4562
Nyack, NY 10960Get directions →

Provider Business Mailing Address Details

Address
716 Somerset St
Franklin Lakes, NJ 07417-1027
City
Franklin Lakes
State
NJ
Zip
07417-1027

License Information

License Number
68 018413
License State
NY
Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Jill A Smith, PHD?

The NPI number of Dr. Jill A Smith, PHD is 1487984332. It was assigned on December 28, 2009 and is currently active in the NPPES registry.

What is the specialty of Dr. Jill A Smith, PHD?

Dr. Jill A Smith, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in NY under license number 68 018413.

Where does Dr. Jill A Smith, PHD practice?

The practice location is 99 Main St, Suite 115, Nyack, NY 10960-3109. The office can be reached at 646-285-4562 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1487984332 directly on the NPPES registry website.

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