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DR. JENNIFER SMITH PHD
NPI 1982026100
Psychologist - Clinical in Rockaway Park, NY

Active since January 07, 2014PECOS EnrolledAccepts Medicare Assignment
12904 NEWPORT AVE, ROCKAWAY PARK, NY 11694(347) 523-5321 Get Directions Write a Review

NPPES record last updated: December 2, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 2, 2022, Sep 21, 2021, Feb 14, 2019 and 3 more (6 updates tracked since 2017).

About Dr. Jennifer Smith Phd NPPES

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

DR. JENNIFER SMITH PHD (NPI 1982026100) is an individual clinical provider in Rockaway Park, New York, licensed in New York (015747-1) and active in the NPI registry since January 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1982026100
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JENNIFER SMITHCredential: PHD
Location Address12904 NEWPORT AVERockaway Park, NY 11694-1617
Mailing Address44 Point Breeze AveBreezy Point, NY 11697-1621 · (917) 355-2031 · Fax (973) 423-9580
Phone(347) 523-5321
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJanuary 7, 2014
Last NPPES UpdateDecember 2, 20226 updates tracked since enumeration
NPPES CertifiedDecember 2, 2022
✔ NPI 1982026100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses✔ Licensed in NY · 015747-1✔ Licensed in NJ · SI1005289✔ Licensed in NJ · 35SI00528900
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
12904 NEWPORT AVE, Rockaway Park, NY 11694
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jennifer 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.

PECOS PAC ID8022234830
PECOS Enrollment IDI20170815002697
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
175 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11694 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$201.98 typical visit price
range $67.00 – $201.98
Typical copayment $50.49 (range $16.75 – $50.49)
Most-billed visit code 99205
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER SMITH PSYCHOLOGIST PC
Psychologist (Clinical)
12904 NEWPORT AVE
ROCKAWAY PARK, NY 11694
Queens County (347) 523-5321

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 Jennifer Smith's NPI number?

The NPI number for Jennifer Smith is 1982026100. It was assigned to this individual provider in the NPPES registry on January 7, 2014.

Where is Jennifer Smith located?

Jennifer Smith practices at 12904 Newport Ave, Rockaway Park, NY 11694. The listed phone number is (347) 523-5321.

What is Jennifer Smith's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Jennifer Smith enrolled in Medicare?

Yes. Jennifer 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.

When was this NPI record last updated?

The NPPES record for Jennifer Smith was last updated on December 2, 2022. 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.