DR. DEBRA K SMITH PHD
NPI 1720089972
Psychologist - Clinical in Port Jefferson, NY
About Dr. Debra K Smith Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DEBRA K SMITH PHD (NPI 1720089972) is an individual clinical provider in Port Jefferson, New York, licensed in New York (010974) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS and is a graduate of State University Of New York At Stony Brook, School Of Medicine (1990).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 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. Debra K Smith Phd 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 Debra Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Brooklyn, NY 11211
- Reassigned Medicare billing, New York enrollment
- 8 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 11777 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORT JEFFERSON, NY 11777
PORT JEFFERSON, NY 11777
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 Debra Smith's NPI number?
The NPI number for Debra Smith is 1720089972. It was assigned to this individual provider in the NPPES registry on August 9, 2005.
Where is Debra Smith located?
Debra Smith practices at 200 Belle Terre Rd, Port Jefferson, NY 11777. The listed phone number is (631) 474-6000.
What is Debra Smith's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Debra Smith enrolled in Medicare?
Yes. Debra 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 Debra Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Debra Smith reassigns Medicare benefits to Northside Psychology PLLC (Brooklyn, NY). 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 Debra 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 Debra Smith was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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. Debra K Smith, PHD · NPI 1720089972
Clinical provider in Port Jefferson, New York. Individual provider, active in the CMS NPPES registry since August 9, 2005.
## Identity
- **NPI:** 1720089972 (Entity type: Individual)
- **Enumerated:** August 9, 2005
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 010974 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 BELLE TERRE RD, Port Jefferson, NY 11777-1928
- **Phone:** (631) 474-6000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Northside Psychology PLLC (NPI 1477058998, Brooklyn, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of New York At Stony Brook, School Of Medicine, class of 1990
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicare ID-Type Unspecified V1H871 (NY); Medicare UPIN R96496 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1720089972) · Data from the CMS NPPES public registry.