EBONI MARIE SMITH
NPI 1477230589
Psychologist - Cognitive & Behavioral in Gary, IN

Q: What is Eboni Smith's NPI number?

The NPI number for Eboni Smith is 1477230589. It was assigned to this individual provider in the NPPES registry on June 29, 2023.

Q: What is Eboni Smith's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.

Q: When was this NPI record last updated?

The NPPES record for Eboni Smith was last updated on June 29, 2023. 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.

Active since June 29, 2023

4121 LINCOLN ST APT 2, GARY, IN 46408(872) 301-0893 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Eboni Marie Smith NPPES

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

EBONI MARIE SMITH (NPI 1477230589) is an individual cognitive & behavioral provider in Gary, Indiana, licensed in Virginia (0704013232) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1477230589

Entity TypeIndividualFemale

Primary Taxonomy103TB0200X

Provider Legal NameEBONI MARIE SMITH

Location Address4121 LINCOLN ST APT 2Gary, IN 46408-2560

Mailing Address4121 Lincoln St Apt 2Gary, IN 46408-2560 · (872) 301-0893

Phone(872) 301-0893

Sole ProprietorYes

Enumeration DateJune 29, 2023

NPPES CertifiedJune 29, 2023

✔ NPI 1477230589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Cognitive & BehavioralBehavioral Health & Social Service Providers

Taxonomy Code103TB0200X

License✔ Licensed in VA · 0704013232

Definition

A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.

4121 LINCOLN ST APT 2, Gary, IN 46408

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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 Eboni Smith's NPI number?

The NPI number for Eboni Smith is 1477230589. It was assigned to this individual provider in the NPPES registry on June 29, 2023.

Where is Eboni Smith located?

Eboni Smith practices at 4121 Lincoln St Apt 2, Gary, IN 46408. The listed phone number is (872) 301-0893.

What is Eboni Smith's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.

When was this NPI record last updated?

The NPPES record for Eboni Smith was last updated on June 29, 2023. 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.