Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alexis Provetto, PSYD

Individual provider Clinical Psychologist · NPI 1356540462

Alexis Provetto, PSYD is a Clinical Psychologist in Smithtown, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

190 Pond View Ln
Smithtown, NY 11787-5200
Phone: (631) 656-6411
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 020477 (NY)

Record details

NPI number1356540462
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorNo
NPI enumeratedJuly 17, 2007
Last updated in NPPESJuly 30, 2014
Mailing address190 Pond View Ln, Smithtown, NY 11787-5200

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