DR. NICOLE LYNN SMITH PSY.D., L.P.
NPI 1215206552
Psychologist - Clinical Child & Adolescent in Minnetonka, MN

Q: What is Nicole Smith's NPI number?

The NPI number for Nicole Smith is 1215206552. It was assigned to this individual provider in the NPPES registry on December 15, 2011.

Q: What is Nicole Smith's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Smith was last updated on June 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 December 15, 2011PECOS Enrolled

10273 YELLOW CIRCLE DR, MINNETONKA, MN 55343(952) 215-3759(952) 401-9805 Get Directions Write a Review

NPPES record last updated: June 26, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Nicole Lynn Smith Psy.d., L.p. NPPES

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

DR. NICOLE LYNN SMITH PSY.D., L.P. (NPI 1215206552) is an individual clinical child & adolescent provider in Minnetonka, Minnesota, licensed in Minnesota (LP5504) and active in the NPI registry since December 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215206552

Entity TypeIndividualFemale

Primary Taxonomy103TC2200X

Provider Legal NameDR. NICOLE LYNN SMITHCredential: PSY.D., L.P.

Location Address10273 YELLOW CIRCLE DRMinnetonka, MN 55343-9144

Mailing Address2841 Bryant Ave S Apt 130Minneapolis, MN 55408-4896 · (414) 232-7277

Phone(952) 215-3759

Fax(952) 401-9805

Sole ProprietorYes

Enumeration DateDecember 15, 2011

Last NPPES UpdateJune 26, 2014

✔ NPI 1215206552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

License✔ Licensed in MN · LP5504

Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

10273 YELLOW CIRCLE DR, Minnetonka, MN 55343

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Enrolled in Medicare (PECOS)

Dr. Nicole Lynn Smith Psy.d., L.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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