COREY D SMITH (PSYD) – Clinical Psychologist, NPI 1396060273

COREY D SMITH (PSYD) is a healthcare provider. based in Omaha, Nebraska. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSYD. They hold a License No. 683 (NE). The NPI Number for COREY D SMITH (PSYD) is 1396060273

Main info

Male
Sole Proprietor
20 Years Of Experience
Accepts Medicare Assignment
Name
COREY D SMITH (PSYD)
NPI
1396060273
Phone
(402) 238-1431
Address
11605 MIRACLE HILLS DR STE 300
Enumeration Date
2 April 2010
Last Update Date
4 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2076261870
Graduation Year
2006 (20 years ago)
PAC ID
5698808970
Group Practice PAC ID
1254245715
Professional Enrollment ID
I20151120002525
Address ID
ME043305736AU15XXXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness85
Years active:16State licenses:1Digital endpointsOther names

200 CLINICAL PSYCHOLOGIST in NE

Provider Addresses for COREY D SMITH (PSYD)

  • 11605 MIRACLE HILLS DR STE 300

    OMAHA, NE 681544467

    Phone: (402) 238-1431

    Fax: (402) 281-1862

    Type: Location

  • Thayer Center for Health, 149, North Street, Waterville, Kennebec County, Maine, 04901, United States

    WATERVILLE, ME 049014974

    Phone: (207) 861-5000

    Fax: (207) 861-5001

    Type: Mailing

  • 149 North St

    Waterville, ME 049014974

    Phone: (207) 861-5000

    Fax: (207) 861-5001

    Type: Location

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: 2015-11-20

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
I20151120002525IClinical PsychologistMETBD

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
90832Psychotherapy, 30 minutes8719$0
View full utilization report →

Insurance plans in this area (ZIP 68154)

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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: 1254245715View full group profile

Reviews

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Frequently asked questions

Where can patients find COREY D SMITH (PSYD)'s NPI?
You can confirm COREY D SMITH (PSYD) with NPI 1396060273; it appears in the national provider directory.
Is COREY D SMITH (PSYD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does COREY D SMITH (PSYD) treat or focus on?
Patients typically see COREY D SMITH (PSYD) under the specialty Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Where does public data place COREY D SMITH (PSYD)?
The snapshot lists Omaha, Nebraska for COREY D SMITH (PSYD); download NPPES for the complete set.
What if Omaha, Nebraska seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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