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

Active since August 16, 2006PECOS EnrolledAccepts Medicare Assignment
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: October 25, 2026.

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

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 and is a graduate of Other (1999).

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
Medical School CMSOtherGraduated 1999
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
Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Timothy David Le Jacq-smith Psy.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466973201
PECOS Enrollment IDI20250310000660
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.

Medicare Billing Reassignment

Medicare enrollment records show Timothy Le Jacq-smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Child And Family Psychiatry, Inc.
5.8 mi
Psychiatry
1035 POST RD
Warwick, RI 02888
  • Reassigned Medicare billing, Rhode Island enrollment
  • 158 clinicians in this Medicare group
NPI 1760863229 (401) 785-0040

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

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Timothy Le Jacq-smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Le Jacq-smith reassigns Medicare benefits to Child And Family Psychiatry, Inc. (Warwick, RI). The 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 Timothy Le Jacq-smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 8 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.