TARA DEVI SMITH PH.D.
NPI 1639560378
Psychologist - Clinical in Woodbridge, VA
About Tara Devi Smith Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TARA DEVI SMITH PH.D. (NPI 1639560378) is an individual clinical provider in Woodbridge, Virginia, licensed in Virginia (0810005135) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses 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
Tara Devi Smith Ph.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 Reassignment
Medicare enrollment records show Tara Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Woodbridge, VA 22193
- Reassigned Medicare billing, Virginia enrollment
- Medicare enrollment name: Psychological And Life Skills Associates PC
- 10 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 22193 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Tara Smith's NPI number?
The NPI number for Tara Smith is 1639560378. It was assigned to this individual provider in the NPPES registry on February 17, 2015.
Where is Tara Smith located?
Tara Smith practices at 13855 Hedgewood Drive #245, Woodbridge, VA 22193. The listed phone number is (703) 490-0336.
What is Tara Smith's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Tara Smith enrolled in Medicare?
Yes. Tara 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 Tara Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tara Smith reassigns Medicare benefits to Psychological And Life Skills Associates, P.C. (Woodbridge, VA). 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 Tara 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 Tara Smith was last updated on February 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Tara Devi Smith, PH.D. · NPI 1639560378
Clinical provider in Woodbridge, Virginia. Individual provider, active in the CMS NPPES registry since February 17, 2015.
## Identity
- **NPI:** 1639560378 (Entity type: Individual)
- **Enumerated:** February 17, 2015
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 0810005135 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 13855 HEDGEWOOD DRIVE, #245, Woodbridge, VA 22193
- **Phone:** (703) 490-0336
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Psychological And Life Skills Associates, P.C. (NPI 1619066727, Woodbridge, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** February 17, 2015
---
Source: [NPI Profile](https://npiprofile.com/npi/1639560378) · Data from the CMS NPPES public registry.