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JENNIFER SMITH PSYCHOLOGIST PC
NPI 1235650201
Psychologist - Clinical in Rockaway Park, NY

Active since June 29, 2017
12904 NEWPORT AVE, ROCKAWAY PARK, NY 11694(347) 523-5321 Get Directions Write a Review

NPPES record last updated: December 2, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 2, 2022, Sep 21, 2021, Jun 29, 2017 (3 updates tracked since 2017).

About Jennifer Smith Psychologist Pc NPPES

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

JENNIFER SMITH PSYCHOLOGIST PC (NPI 1235650201) is a healthcare organization registered as a clinical in Rockaway Park, New York and active in the NPI registry since June 2017. The organization lists Jennifer L Smith, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1235650201
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameJENNIFER SMITH PSYCHOLOGIST PC
Location Address12904 NEWPORT AVERockaway Park, NY 11694-1617
Mailing Address44 Point Breeze AveBreezy Point, NY 11697-1621 · (917) 355-2031
Phone(347) 523-5321
Organization SubpartNo
Authorized OfficialJennifer L SmithClinical Psychologist · (917) 355-2031
Enumeration DateJune 29, 2017
Last NPPES UpdateDecember 2, 20223 updates tracked since enumeration
NPPES CertifiedDecember 2, 2022
✔ NPI 1235650201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in NY · 015747
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
12904 NEWPORT AVE, Rockaway Park, NY 11694
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. JENNIFER SMITH PHD
Psychologist (Clinical)
12904 NEWPORT AVE
ROCKAWAY PARK, NY 11694
Queens County (347) 523-5321

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 Jennifer Smith Psychologist PC's NPI number?

The NPI number for Jennifer Smith Psychologist PC is 1235650201. It was assigned to this organization in the NPPES registry on June 29, 2017.

Where is Jennifer Smith Psychologist PC located?

Jennifer Smith Psychologist PC is located at 12904 Newport Ave, Rockaway Park, NY 11694. The listed phone number is (347) 523-5321.

What is Jennifer Smith Psychologist PC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Jennifer Smith Psychologist PC was last updated on December 2, 2022. 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.