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

Q: 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.

Q: What is Jennifer Smith Psychologist PC's specialty?

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

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: November 01, 2026.

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

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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Smith Psychologist Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jennifer Smith Psychologist PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jennifer Smith, PHD

Clinical Psychologist

NPI 1982026100

12904 NEWPORT AVE
Rockaway Park, NY 11694

(347) 523-5321

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is Jennifer Smith Psychologist PC enrolled in Medicare?

Yes. Jennifer Smith Psychologist PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jennifer Smith Psychologist PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Jennifer Smith Psychologist PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.