DR. KAITLIN SMITH PHD
NPI 1043688740
Clinical Neuropsychologist in Tonawanda, NY

Q: What is Kaitlin Smith's NPI number?

The NPI number for Kaitlin Smith is 1043688740. It was assigned to this individual provider in the NPPES registry on September 11, 2015.

Q: What is Kaitlin Smith's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Q: When was this NPI record last updated?

The NPPES record for Kaitlin Smith was last updated on February 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since September 11, 2015PECOS Enrolled

884 BRIGHTON RD, TONAWANDA, NY 14150(716) 836-9460(716) 836-9460 Get Directions Write a Review

NPPES record last updated: February 1, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 1, 2023, May 2, 2022, Mar 3, 2022 and 2 more (5 updates tracked since 2021).

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About Dr. Kaitlin Smith Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KAITLIN SMITH PHD (NPI 1043688740) is an individual clinical neuropsychologist in Tonawanda, New York, licensed in New York (024325-01) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1043688740

Entity TypeIndividualFemale

Primary Taxonomy103G00000X

Provider Legal NameDR. KAITLIN SMITHCredential: PHD

Location Address884 BRIGHTON RDTonawanda, NY 14150-8169

Mailing Address884 Brighton RdTonawanda, NY 14150-8169 · (716) 836-9460 · Fax (716) 836-9460

Phone(716) 836-9460

Fax(716) 836-9460

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateSeptember 11, 2015

Last NPPES UpdateFebruary 1, 20235 updates tracked since enumeration

NPPES CertifiedFebruary 1, 2023

✔ NPI 1043688740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in NY · 024325-01

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 024326 (NY)

884 BRIGHTON RD, Tonawanda, NY 14150

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kaitlin Smith Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113399601

PECOS Enrollment IDI20230209001389

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

MRS. CAROLANN SCHWARTZ LCSW

Social Worker (Clinical)