DR. MARYCATHERINE SMITH PSY.D.
NPI 1295807105
Psychologist in Sandy, UT

NPI Status: Active since November 15, 2006

Contact Information

11075 S STATE ST STE 16
SANDY, UT
ZIP 84070
Phone: (845) 216-9738
Fax: (801) 996-3762

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  • Individual
  • Female
  • Years of Experience 26
  • Psychologist
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About MARYCATHERINE SMITH

This page provides the complete NPI Profile along with additional information for Marycatherine Smith, a provider established in Sandy, Utah with a medical specialization in Psychologist and more than 26 years of experience. The healthcare provider is registered in the NPI registry with number 1295807105 assigned on November 2006. The practitioner's primary taxonomy code is 103T00000X with license number 9649381-2501 (UT). The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1295807105
Provider Name
DR. MARYCATHERINE SMITH PSY.D.
Other Name
DR. MARYKATE SMITH-EBERLE PSY.D.
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
11075 S STATE ST STE 16 SANDY, UT 84070
Location Phone
(845) 216-9738
Location Fax
(801) 996-3762
Mailing Address
10655 S CRESCENT BEND DR SANDY, UT 84070
Mailing Phone
(845) 216-9738
Mailing Fax
(801) 996-3762
Medical School Name
OTHER
Graduation Year
2001
Is Sole Proprietor?
Yes
Enumeration Date
11-15-2006
Last Update Date
07-21-2022
Code Navigator

A psychologist like Marycatherine Smith studies cognitive, emotional, social processes and behavior by observing, interpreting, and recording how people relate to one another and to their environments. Psychologists gather information and evaluate behavior through controlled laboratory experiments, psychoanalysis, psychotherapy or through personality, performance, aptitude, or intelligence tests, and use this information when testing theories in their research or when treating patients.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist

Taxonomy Code
103T00000X
Type
Behavioral Health & Social Service Providers
License No.
9649381-2501
License State
UT
Taxonomy Description
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1103T00000XBehavioral Health & Social Service Providers

Psychologist

1120 (NM)
2103T00000XBehavioral Health & Social Service Providers

Psychologist

015157-0 (NY)

Medicare Participation & PECOS Enrollment Status

Marycatherine Smith is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Marycatherine Smith is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 4789847054

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20170223000592

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1295807105, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
5
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
0
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
1
Unchanged
Pos 9
0
Doubled → 0
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 8 → 16 → 7 7 → 14 → 5 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 8 + 5 + 1 + 6 + 0 + 1 + 4 + 1 + 0 + 24 = 55

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1295807105.

Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Counselor (Professional)
11075 S STATE ST STE 16
SANDY, UT 84070
Community/Behavioral Health
11075 S STATE ST STE 16
SANDY, UT 84070
Marriage & Family Therapist
11075 S STATE ST STE 16
SANDY, UT 84070
Psychologist
11075 S STATE ST STE 16
SANDY, UT 84070
Social Worker (Clinical)
11075 S STATE ST STE 16
SANDY, UT 84070
Social Worker (Clinical)
11075 S STATE ST STE 16
SANDY, UT 84070
Clinic/Center (Mental Health (Including Community Mental Health Center))
11075 S STATE ST STE 16
SANDY, UT 84070
Social Worker (Clinical)
11075 S STATE ST STE 16
SANDY, UT 84070
Clinic/Center (Mental Health (Including Community Mental Health Center))
11075 S STATE ST STE 16
SANDY, UT 84070
Social Worker (Clinical)
11075 S STATE ST STE 16
SANDY, UT 84070
Social Worker (Clinical)
11075 S STATE ST STE 16
SANDY, UT 84070

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295807105, enumerated as an "individual" on November 15, 2006.

The provider is located at 11075 S STATE ST STE 16 SANDY, UT 84070 and the phone number is (845) 216-9738.

Psychologist with taxonomy code 103T00000X.