AMANDA J SMITH (PSY.D.) – Clinical Psychologist, NPI 1508080318

AMANDA J SMITH (PSY.D.) is a healthcare provider. based in Dallas, Texas. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D.. They hold a License No. 33672 (TX). The NPI Number for AMANDA J SMITH (PSY.D.) is 1508080318

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA J SMITH (PSY.D.)
NPI
1508080318
Phone
(214) 743-1264
Address
1380 RIVER BEND DR
Enumeration Date
12 April 2007
Last Update Date
18 December 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3306594161
Graduation Year
2005 (21 years ago)
PAC ID
2668530486
Group Practice PAC ID
1658633292
Professional Enrollment ID
I20220223001448
Address ID
OH442869481RI5232XRDXX300
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

1,347 CLINICAL PSYCHOLOGIST in TX

Provider Addresses for AMANDA J SMITH (PSY.D.)

  • 1380 RIVER BEND DR

    DALLAS, TX 752474914

    Phone: (214) 743-1264

    Mailing address matches the actual address.

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: 2024-08-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 7 Medicare enrollment records; no due dates published yet.

Enrollment records

7

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
I20081023000415IClinical PsychologistTXTBD
I20220223001448IClinical PsychologistOHTBD
I20230317002315IClinical PsychologistKSTBD
I20231115003480IClinical PsychologistAZTBD
I20231128003530IClinical PsychologistNJTBD
I20240702000335IClinical PsychologistNYTBD
I20240812002282IClinical PsychologistILTBD

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 hour1,17060$0
90832Psychotherapy, 30 minutes6520$0
90834Psychotherapy, 45 minutes2518$0
90791Psychiatric diagnostic evaluation2424$0
View full utilization report →

Insurance plans in this area (ZIP 75247)

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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: 1658633292View full group profile
NameSpecialtyState
Mental Health CounselorFL
-OH
-OH
-TX
Mental Health CounselorIN
Mental Health CounselorMA
Clinical Social WorkerIL
-OH
Clinical PsychologistMA
Clinical Social WorkerWI

Reviews

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Frequently asked questions

Does AMANDA J SMITH (PSY.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — AMANDA J SMITH (PSY.D.) uses 1508080318.
Can I rely on AMANDA J SMITH (PSY.D.) being an active provider?
As of the registry snapshot, AMANDA J SMITH (PSY.D.) is marked active.
What is AMANDA J SMITH (PSY.D.)'s specialty?
The listing groups AMANDA J SMITH (PSY.D.) with Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Where is AMANDA J SMITH (PSY.D.) based?
AMANDA J SMITH (PSY.D.) is tied to Dallas, Texas in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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