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

Dr. Jennifer Smith, PHD

Individual provider Clinical Psychologist · NPI 1982026100

Dr. Jennifer Smith, PHD is a Clinical Psychologist in Rockaway Park, New York. Qualified in 2002, 24 years ago. Accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
24
Licensed in
NJ, NY
In the registry since
2014
Specialties on file
3
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

12904 Newport Ave
Rockaway Park, NY 11694-1617
Phone: (347) 523-5321
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 015747-1 (NY)
Clinical Psychologist Taxonomy 103TC0700X · Licence SI1005289 (NJ)
Clinical Psychologist Taxonomy 103TC0700X · Licence 35SI00528900 (NJ)

Record details

NPI number1982026100
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedJanuary 7, 2014
Last updated in NPPESDecember 2, 2022
Certification dateDecember 2, 2022
Mailing address44 Point Breeze Ave, Breezy Point, NY 11697-1621

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Rockaway Park