DR. FREDERICK EARL SMITH (PH.D.) – Clinical Psychologist, NPI 1437184264

DR. FREDERICK EARL SMITH (PH.D.) is a healthcare provider. based in West springfield, Massachusetts. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 8074 (MA). The NPI Number for DR. FREDERICK EARL SMITH (PH.D.) is 1437184264

Main info

Male
Sole Proprietor
44 Years Of Experience
Accepts Medicare Assignment
Name
DR. FREDERICK EARL SMITH (PH.D.)
NPI
1437184264
Phone
(413) 439-0090
Address
1132 WESTFIELD ST
Enumeration Date
11 July 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7812393550
Graduation Year
1982 (44 years ago)
PAC ID
2860451978
Group Practice PAC ID
5991763823
Professional Enrollment ID
I20041005000862
Address ID
MA024810000WE372XXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,694 CLINICAL PSYCHOLOGIST in MA

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Provider Addresses for DR. FREDERICK EARL SMITH (PH.D.)

  • 1130;1132, Westfield Street, Mittineague, West Springfield, Hampden County, Massachusetts, 01089, United States

    WEST SPRINGFIELD, MA 010893878

    Phone: (413) 439-0090

    Fax: (413) 439-0096

    Type: Location

  • 23, Overbrook Drive, Overbrook, Wellesley, Norfolk County, Massachusetts, 01500, United States

    WELLESLEY, MA 024822216

    Phone: (781) 237-4735

    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: 2004-10-05

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
I20041005000862IClinical PsychologistMATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 01089)

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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: 5991763823View full group profile

Reviews

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Frequently asked questions

What NPI should I save for DR. FREDERICK EARL SMITH (PH.D.)?
Save NPI 1437184264 if you need a stable reference for DR. FREDERICK EARL SMITH (PH.D.).
Is DR. FREDERICK EARL SMITH (PH.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does DR. FREDERICK EARL SMITH (PH.D.) list a primary specialty?
If you are matching referrals, note Clinical Psychologist for DR. FREDERICK EARL SMITH (PH.D.). Clinical services aligned with this taxonomy classification.
Where is DR. FREDERICK EARL SMITH (PH.D.)'s primary listing?
We display West Springfield, Massachusetts because that is what the record indicates for DR. FREDERICK EARL SMITH (PH.D.).
Is DR. FREDERICK EARL SMITH (PH.D.) a real provider?
This page reflects official NPPES data for NPI 1437184264. Always confirm identity and privileges with the practice and licensing boards.

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