Roselyn G Smith Phd Llc - Medicare Mental Health Clinic in Miami, FL

Roselyn G Smith Phd Llc is a medicare enrolled mental health clinic (Psychologist - Clinical) in Miami, Florida. The current practice location for Roselyn G Smith Phd Llc is 7685 Sw 104th St, Suite 100, Miami, Florida. For appointments, you can reach them via phone at (305) 804-5418. The mailing address for Roselyn G Smith Phd Llc is 7685 Sw 104th St, Suite 100, Miami, Florida and phone number is (305) 804-5418.

Roselyn G Smith Phd Llc is licensed to practice in Florida (license number PY7219). The clinic also participates in the medicare program and its NPI number is 1073649232. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (305) 804-5418.

Contact Information

Roselyn G Smith Phd Llc
7685 Sw 104th St
Suite 100
Miami
FL 33156-3161
(305) 804-5418
(305) 662-4731

Mental Health Clinic Profile

Full NameRoselyn G Smith Phd Llc
SpecialityPsychologist
Location7685 Sw 104th St, Miami, Florida
Authorized Official Name and PositionRoselyn G Smith (MGRM)
Authorized Official Contact3058045418
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Roselyn G Smith Phd Llc
7685 Sw 104th St
Suite 100
Miami
FL 33156-3161

Ph: (305) 804-5418
Roselyn G Smith Phd Llc
7685 Sw 104th St
Suite 100
Miami
FL 33156-3161

Ph: (305) 804-5418

NPI Details:

NPI Number1073649232
Provider Enumeration Date02/24/2007
Last Update Date07/01/2014

Medicare PECOS Information:

Medicare PECOS PAC ID8426156217
Medicare Enrollment IDO20070601000096

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Medical Identifiers

Medical identifiers for Roselyn G Smith Phd Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073649232NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist PY7219 (Florida)Secondary
103TA0700XPsychologist - Adult Development & Aging PY7219 (Florida)Secondary
103TB0200XPsychologist - Cognitive & Behavioral PY7219 (Florida)Secondary
103TC0700XPsychologist - Clinical PY7219 (Florida)Primary
103TF0000XPsychologist - Family PY7219 (Florida)Secondary
103TH0004XPsychologist - Health PY7219 (Florida)Secondary
103TH0100XPsychologist - Health Service PY7219 (Florida)Secondary
103TM1800XPsychologist - Intellectual & Developmental Disabilities PY7219 (Florida)Secondary
103TP2701XPsychologist - Group Psychotherapy PY7219 (Florida)Secondary
103TR0400XPsychologist - Rehabilitation PY7219 (Florida)Secondary
106H00000XMarriage & Family Therapist PY7219 (Florida)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Roselyn G Smith Phd Llc acts as a billing entity for following providers:
Provider NameRoselyn G Smith
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1548328412
PECOS PAC ID: 4981701638
Enrollment ID: I20070515000323

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