DR. FREDERICK SMITH PSY.D.
NPI 1568971091
Psychologist - Clinical in Woodridge, IL
About Dr. Frederick Smith Psy.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. FREDERICK SMITH PSY.D. (NPI 1568971091) is an individual clinical provider in Woodridge, Illinois, licensed in Illinois (071010014) and active in the NPI registry since September 2017. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
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. Frederick 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.
Medicare Billing Reassignments
2Medicare enrollment records show Frederick Smith reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Naperville, IL 60564
- Reassigned Medicare billing, Illinois enrollment
- 475 clinicians in this Medicare group
Chicago, IL 60601
- Reassigned Medicare billing, Illinois enrollment
- 66 clinicians in this Medicare group
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 60517 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Frederick Smith's NPI number?
The NPI number for Frederick Smith is 1568971091. It was assigned to this individual provider in the NPPES registry on September 27, 2017.
Where is Frederick Smith located?
Frederick Smith practices at 7425 Janes Ave Ste 205, Woodridge, IL 60517. The listed phone number is (331) 481-5547.
What is Frederick Smith's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Frederick Smith enrolled in Medicare?
Yes. Frederick 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 organizations bill Medicare for Frederick Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Frederick Smith reassigns Medicare benefits to 2 organizations: Edgewood Clinical Services, P.C. (Naperville, IL) and Thriveworks Clinical - Illinois (Chicago, IL). Each 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 Frederick 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 Frederick Smith was last updated on January 31, 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.
# Dr. Frederick Smith, PSY.D. · NPI 1568971091
Clinical provider in Woodridge, Illinois. Individual provider, active in the CMS NPPES registry since September 27, 2017.
## Identity
- **NPI:** 1568971091 (Entity type: Individual)
- **Enumerated:** September 27, 2017
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 071010014 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 7425 JANES AVE STE 205, Woodridge, IL 60517-2323
- **Phone:** (331) 481-5547
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Edgewood Clinical Services, P.C. (NPI 1295914646, Naperville, IL); Thriveworks Clinical - Illinois (NPI 1164190633, Chicago, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** January 31, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1568971091) · Data from the CMS NPPES public registry.