MICHAEL J SMITH JR. PHD
NPI 1871325209
Counselor - Mental Health in Coram, NY

Q: What is Michael Smith's NPI number?

The NPI number for Michael Smith is 1871325209. It was assigned to this individual provider in the NPPES registry on August 15, 2024.

Q: What is Michael Smith's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Michael Smith was last updated on September 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.

Active since August 15, 2024PECOS Enrolled

10 CEDAR AVE, CORAM, NY 11727(631) 807-0143 Get Directions Write a Review

NPPES record last updated: September 4, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 4, 2024, Aug 15, 2024 (2 updates tracked since 2024).

On this page

About Michael J Smith Jr. Phd NPPES

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

MICHAEL J SMITH JR. PHD (NPI 1871325209) is an individual mental health provider in Coram, New York, licensed in New York (002180) and active in the NPI registry since August 2024. He is enrolled in Medicare PECOS and is a graduate of Other (1988).

NPPES Registry Identity

NPI1871325209

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameMICHAEL J SMITH JR.Credential: PHD

Location Address10 CEDAR AVECoram, NY 11727-1103

Mailing Address10 Cedar AveCoram, NY 11727-1103 · (631) 807-0143

Phone(631) 807-0143

Sole ProprietorYes

Medical School CMSOtherGraduated 1988

Enumeration DateAugust 15, 2024

Last NPPES UpdateSeptember 4, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 4, 2024

✔ NPI 1871325209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in NY · 002180

10 CEDAR AVE, Coram, NY 11727

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael J Smith Jr. Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3476025040

PECOS Enrollment IDI20260615002521

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.

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 Michael Smith's NPI number?

The NPI number for Michael Smith is 1871325209. It was assigned to this individual provider in the NPPES registry on August 15, 2024.

Where is Michael Smith located?

Michael Smith practices at 10 Cedar Ave, Coram, NY 11727. The listed phone number is (631) 807-0143.

What is Michael Smith's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Michael Smith enrolled in Medicare?

Yes. Michael Smith is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Smith was last updated on September 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.