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

Michael J Smith Jr., PHD

Individual provider Mental Health Counselor · NPI 1871325209

Michael J Smith Jr., PHD is a Mental Health Counselor in Coram, New York. Qualified in 1988, 38 years ago. Practices as a sole proprietor. Licensed in New York.

Years since qualifying
38
Licensed in
NY
In the registry since
2024
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

10 Cedar Ave
Coram, NY 11727-1103
Phone: (631) 807-0143
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 002180 (NY)

Record details

NPI number1871325209
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedAugust 15, 2024
Last updated in NPPESSeptember 4, 2024
Certification dateSeptember 4, 2024
Mailing address10 Cedar Ave, Coram, NY 11727-1103

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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