DR. KRISTIN M SMITH PSY.D
NPI 1033641063
Psychologist - Clinical in Pleasantville, NY
About Dr. Kristin M Smith Psy.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KRISTIN M SMITH PSY.D (NPI 1033641063) is an individual clinical provider in Pleasantville, New York, licensed in New York (021990) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Kristin M Smith Psy.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
4Medicare enrollment records show Kristin Smith reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bronx, NY 10469
- Reassigned Medicare billing, New York enrollment
- 33 clinicians in this Medicare group
New York, NY 10030
- Reassigned Medicare billing, New York enrollment
- 49 clinicians in this Medicare group
Newburgh, NY 12550
- Reassigned Medicare billing, New York enrollment
- 50 clinicians in this Medicare group
Baldwin, NY 11510
- Reassigned Medicare billing, New York enrollment
- 52 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10570 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PLEASANTVILLE, NY 10570
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kristin Smith's NPI number?
The NPI number for Kristin Smith is 1033641063. It was assigned to this individual provider in the NPPES registry on March 29, 2017.
Where is Kristin Smith located?
Kristin Smith practices at 1075 Broadway, Pleasantville, NY 10570. The listed phone number is (914) 773-6158.
What is Kristin Smith's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Kristin Smith enrolled in Medicare?
Yes. Kristin Smith is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kristin Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristin Smith reassigns Medicare benefits to 4 organizations: Complete Slp, Ot, Pt & Psychology Services, PLLC (Bronx, NY), Upper Room Aids Ministry, Inc. Adult Day Health Care Center. (New York, NY), Caring Slp, Psychology, Ot & Nutrition Services, PLLC (Newburgh, NY) and Essential Ot, Pt, Slp & Psychology Services, PLLC (Baldwin, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kristin Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kristin Smith accept?
Health plans from Oscar Health list Kristin Smith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kristin Smith was last updated on March 29, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Kristin M Smith, PSY.D · NPI 1033641063
Clinical provider in Pleasantville, New York. Individual provider, active in the CMS NPPES registry since March 29, 2017.
## Identity
- **NPI:** 1033641063 (Entity type: Individual)
- **Enumerated:** March 29, 2017
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 021990 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1075 BROADWAY, Pleasantville, NY 10570-2346
- **Phone:** (914) 773-6158
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Complete Slp, Ot, Pt & Psychology Services, PLLC (NPI 1437616026, Bronx, NY); Upper Room Aids Ministry, Inc. Adult Day Health Care Center. (NPI 1417986340, New York, NY); Caring Slp, Psychology, Ot & Nutrition Services, PLLC (NPI 1699226217, Newburgh, NY); Essential Ot, Pt, Slp & Psychology Services, PLLC (NPI 1093226805, Baldwin, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** March 29, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1033641063) · Data from the CMS NPPES public registry.