STEPHANIE SMITH (PH.D.) – Psychologist, NPI 1093262768

STEPHANIE SMITH (PH.D.) is a healthcare provider. based in Coral springs, Florida. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. PSY28195 (CA). The NPI Number for STEPHANIE SMITH (PH.D.) is 1093262768

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE SMITH (PH.D.)
NPI
1093262768
Phone
(954) 340-0888
Address
7451 WILES RD STE 103
Enumeration Date
9 September 2016
Last Update Date
17 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9413630878
Graduation Year
2014 (12 years ago)
PAC ID
1254612740
Group Practice PAC ID
5092120030
Professional Enrollment ID
I20220110002284
Address ID
FL342369116SA1090XTRLX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:9State licenses:2Digital endpointsOther names

1,602 CLINICAL PSYCHOLOGIST in FL

Provider Addresses for STEPHANIE SMITH (PH.D.)

  • 7451 WILES RD STE 103

    CORAL SPRINGS, FL 330672040

    Phone: (954) 340-0888

    Type: Location

  • East Roseville Parkway, Roseville, Placer County, California, 95661, United States

    ROSEVILLE, CA 956613988

    Phone: (916) 878-4004

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-01-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220110002284IClinical PsychologistFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour15914$0
View full utilization report →

Insurance plans in this area (ZIP 33067)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5092120030View full group profile
NameSpecialtyState
Clinical PsychologistMD
Clinical PsychologistRI
Clinical PsychologistIL
P S Y C H I A T R YFL
Clinical Social WorkerFL
P S Y C H I A T R YFL
Clinical PsychologistFL
Nurse PractitionerFL
Clinical Social WorkerMD
Clinical PsychologistKY

Reviews

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Frequently asked questions

What federal number belongs to STEPHANIE SMITH (PH.D.)?
The federal identifier for STEPHANIE SMITH (PH.D.) is NPI 1093262768.
Is STEPHANIE SMITH (PH.D.)'s NPI currently valid?
The extract we use shows STEPHANIE SMITH (PH.D.) as active.
What does STEPHANIE SMITH (PH.D.) treat or focus on?
Patients typically see STEPHANIE SMITH (PH.D.) under the specialty Psychologist. Clinical services aligned with this taxonomy classification.
What location shows for STEPHANIE SMITH (PH.D.)?
We surface Coral Springs, Florida for STEPHANIE SMITH (PH.D.) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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