DR. SAMANTHA JADE SMITH PSY.D
NPI 1720523095
Psychologist - Clinical in Gainesville, FL

NPI Status: Active since December 22, 2016

Contact Information

1200 NE 55TH BLVD
GAINESVILLE, FL
ZIP 32641
Phone: (561) 386-4231

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  • Individual
  • Female
  • Psychologist
  • Clinical
  • PECOS Enrolled

About SAMANTHA SMITH

This page provides the complete NPI Profile along with additional information for Samantha Smith, a provider established in Gainesville, Florida with a medical specialization in Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1720523095 assigned on December 2016. The practitioner's primary taxonomy code is 103TC0700X with license number PY9680 (FL). The provider is registered as an individual and her NPI record was last updated 6 years ago.

NPI
1720523095
Provider Name
DR. SAMANTHA JADE SMITH PSY.D
Gender
Female
Entity Type
Individual
Location Address
1200 NE 55TH BLVD GAINESVILLE, FL 32641
Location Phone
(561) 386-4231
Mailing Address
PO BOX 358343 GAINESVILLE, FL 32635
Is Sole Proprietor?
Yes
Enumeration Date
12-22-2016
Last Update Date
09-23-2019
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A clinical psychologist like Samantha Smith assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.

Location Map

Secondary Locations

  • 4026 NW 34th Dr
    Gainesville, FL 32605
    (561) 386-4231

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Clinical

Taxonomy Code
103TC0700X
Type
Behavioral Health & Social Service Providers
License No.
PY9680
License State
FL
Taxonomy Description
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Medicare Participation & PECOS Enrollment Status

Samantha Smith is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 32641 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99205

  • Average New Patient Price $171.84
  • Minimum New Patient Price $56
  • Maximum New Patient Price $171.84
  • Average New Patient Copayment $42.96
  • Minimum New Patient Copayment $14
  • Maximum New Patient Copayment $42.96

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $99.16
  • Minimum Established Patient Price $17.57
  • Maximum Established Patient Price $139.16
  • Average Established Patient Copayment $24.79
  • Minimum Established Patient Copayment $4.39
  • Maximum Established Patient Copayment $34.79

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for DR. SAMANTHA JADE SMITH PSY.D

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1720523095
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27401026018
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 1 + 0 + 2 + 6 + 0 + 1 + 8 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1720523095 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1861469843 CYNTHIA SOWERS CROMER M.D.
Individual
Internal Medicine1200 NE 55TH BLVD
GAINESVILLE, FL 32641
(352) 375-8484
1033215942 YOLANDA CARIDAD HERNANDEZ M.D.
Individual
Psychiatry & Neurology (Forensic Psychiatry)1200 NE 55TH BLVD
GAINESVILLE, FL 32641
(352) 375-8484
1629168497DR. IVAN ANTONIO LOPEZ M.D.
Individual
Psychiatry & Neurology (Neurology)1200 NE 55TH BLVD
GAINESVILLE, FL 32641
(352) 375-8484
1457439770MRS. ROSA M MARTIN MD
Individual
General Practice1200 NE 55TH BLVD
GAINESVILLE, FL 32641
(352) 375-8484
1851470819DR. EDUARDO INFANTE M.D.
Individual
Psychiatry & Neurology (Forensic Psychiatry)1200 NE 55TH BLVD
GAINESVILLE, FL 32641
(352) 375-8484
1083784524 RAYMOND E. GABB M.D.
Individual
Psychiatry & Neurology (Neurology)1200 NE 55TH BLVD
GAINESVILLE, FL 32641
(352) 375-8484
1659587707DR. KATHRYN JEAN EDNIE M.D.
Individual
Psychiatry & Neurology (Forensic Psychiatry)1200 NE 55TH BLVD
GAINESVILLE, FL 32641
(352) 264-8276
1053598714 CIPRIANO S FERNANDES M.D.
Individual
Psychiatry & Neurology (Forensic Psychiatry)1200 NE 55TH BLVD NORTH FLORIDA EVAL/TREATMENT CENTER
GAINESVILLE, FL 32641
(352) 375-8484
1912322298DR. ALEXANDRA LEADER PHARM.D.
Individual
Pharmacist1200 NE 55TH BLVD ATTN: NFETC PHARMACY
GAINESVILLE, FL 32641
(352) 375-8484
1477697753DR. NORMAN DAVID GUTHRIE M.D.
Individual
Psychiatry & Neurology (Forensic Psychiatry)1200 NE 55TH BLVD
GAINESVILLE, FL 32641
(863) 398-2777
1972273639FLORIDA DEPARTMENT OF CHILDREN AND FAMILIES
Organization
Psychiatric Hospital1200 NE 55TH BLVD
GAINESVILLE, FL 32641
(352) 415-6612
1750572103 JEAN MAURICE DURE M.D.
Individual
General Practice1200 NE 55TH BLVD
GAINESVILLE, FL 32641
(904) 964-7732

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720523095, enumerated in the NPI registry as an "individual" on December 22, 2016

The provider is located at 1200 Ne 55th Blvd Gainesville, Fl 32641 and the phone number is (561) 386-4231

The provider's speciality is Psychologist with taxonomy code 103TC0700X with a focus in Clinical

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Durable Medical Equipment (DME).

Medicare beneficiaries should expect a typical cost of $171.84 with an average copayment of $42.96 for new patient appointments. Established patients should expect a typical charge of $99.16 and an average copayment of 24.79. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on December 22, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.