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

Dr. Debra K Smith, PHD

Individual provider Clinical Psychologist · NPI 1720089972

Dr. Debra K Smith, PHD is a Clinical Psychologist in Port Jefferson, New York. Graduated from State University of New York at Stony Brook, School of Medicine in 1990, 36 years ago. Practices with Northside Psychology PLLC, a 7-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
36
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
NY
In the registry since
2005
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

200 Belle Terre Rd
Port Jefferson, NY 11777-1928
Phone: (631) 474-6000
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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 010974 (NY)

Record details

NPI number1720089972
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedAugust 9, 2005
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 1990 (36 years in practice)
Group practice Northside Psychology Pllc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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