DR. TIMOTHY DAVID LE JACQ-SMITH PSY.D.
NPI 1295848091
Psychologist - Clinical in Providence, RI

Q: What is Timothy Le Jacq-smith's NPI number?

The NPI number for Timothy Le Jacq-smith is 1295848091. It was assigned to this individual provider in the NPPES registry on August 16, 2006.

Q: What is Timothy Le Jacq-smith's specialty?

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

Active since August 16, 2006PECOS Enrolled

501 ANGELL ST, PROVIDENCE, RI 02906(401) 243-4199 Get Directions Write a Review

NPPES record last updated: February 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 5, 2026, Aug 8, 2025 (2 updates tracked since 2025).

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About Dr. Timothy David Le Jacq-smith Psy.d. NPPES

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

DR. TIMOTHY DAVID LE JACQ-SMITH PSY.D. (NPI 1295848091) is an individual clinical provider in Providence, Rhode Island, licensed in Rhode Island (PS00764) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295848091

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. TIMOTHY DAVID LE JACQ-SMITHCredential: PSY.D.

Location Address501 ANGELL STProvidence, RI 02906-4467

Mailing Address8 Aimes WayWestport, MA 02790-1260 · (401) 243-4199

Phone(401) 243-4199

Sole ProprietorYes

Enumeration DateAugust 16, 2006

Last NPPES UpdateFebruary 5, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 5, 2026

✔ NPI 1295848091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in RI · PS00764✔ Licensed in MA · 8125

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.

501 ANGELL ST, Providence, RI 02906

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Other Identifiers 3

Other410489RI · Blue Chip Ri Provider Id

Other26545-2RI · Bcbsrprovider Numberi

Other1034540RI · Beacon Health Id Number

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. Timothy David Le Jacq-smith Psy.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02906 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$177.03 typical visit price

range $58.57 – $177.03

Typical copayment $44.25 (range $14.64 – $44.25)

Most-billed visit code 99205

Established Patient

$103.10 typical visit price

range $18.92 – $144.38

Typical copayment $25.77 (range $4.73 – $36.09)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

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

MRS. MARY RITA O'CONNELL LMHC

Counselor (Professional)

501 ANGELL ST
PROVIDENCE, RI 02906

Providence County (401) 272-2250

DR. MICHAEL SCOTT CAREY PH.D.

Psychologist (Clinical)

501 ANGELL ST
PROVIDENCE, RI 02906

Providence County (401) 831-5108

NEUROBEHAVIORAL CONSULTANTS, LLC

Clinical Neuropsychologist

501 ANGELL ST
PROVIDENCE, RI 02906

Providence County (401) 831-6277

MR. ROBERT CARLIN SHERIDAN MSW

Social Worker (Clinical)

501 ANGELL ST, SECOND FLOOR
PROVIDENCE, RI 02906

Providence County (401) 861-6747

MR. DANIEL MARTIN MUSHOLT M.S.W.

Social Worker (Clinical)

501 ANGELL ST
PROVIDENCE, RI 02906

Providence County (401) 454-4540

KRISTEN LYNCH-COUTURE LMHC, CAGS, MA

Counselor (Mental Health)

501 ANGELL ST
PROVIDENCE, RI 02906

Providence County (401) 903-4019

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 Timothy Le Jacq-smith's NPI number?

The NPI number for Timothy Le Jacq-smith is 1295848091. It was assigned to this individual provider in the NPPES registry on August 16, 2006.

Where is Timothy Le Jacq-smith located?

Timothy Le Jacq-smith practices at 501 Angell St, Providence, RI 02906. The listed phone number is (401) 243-4199.

What is Timothy Le Jacq-smith's specialty?

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

Is Timothy Le Jacq-smith enrolled in Medicare?

Yes. Timothy Le Jacq-smith is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Timothy Le Jacq-smith was last updated on February 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.