Individual provider

Nicole Smith, PSY.D., L.P.

Clinical Child & Adolescent Psychologist Medicare enrolled

Nicole Smith, PSY.D., L.P. is a Clinical Child & Adolescent Psychologist in Minnetonka, MN, registered under NPI 1215206552. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 10273 YELLOW CIRCLE DR, Minnetonka, MN 55343. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

10273 YELLOW CIRCLE DR, Minnetonka, MN 55343 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
LP5504 MN Clinical Child & Adolescent Psychologist primary

This provider holds licence LP5504 issued in MN. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Clinical Psychologist
PAC ID
8820510936

Enrolled in Medicare 3 times, across 3 states:

StateEnrollment IDProvider type
Minnesota I20250318003343 Practitioner - Clinical Psychologist
New York I20250319002753 Practitioner - Clinical Psychologist
Wisconsin I20250320000957 Practitioner - Clinical Psychologist

Medicare enrolment is recorded as approved under the provider type Practitioner - Clinical Psychologist. There are 3 separate enrolment records across 3 states (MN, NY, WI). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Clinical Child & Adolescent covers

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents. NUCC Health Care Provider Taxonomy, code 103TC2200X
Behavioral Health & Social Service Providers Psychologist Clinical Child & Adolescent

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1215206552 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateDec 15, 2011
Last updatedJun 26, 2014
StatusActive
Sole proprietorYes
CredentialPSY.D., L.P.
Practice address 10273 YELLOW CIRCLE DR
Minnetonka, MN 55343
(952) 215-3759
Fax (952) 401-9805
Mailing address 2841 BRYANT AVE S APT 130
Minneapolis, MN 55408
This record was last updated on Jun 26, 2014, roughly 12 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1215206552 passes the NPI check digit test The final digit 2 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 2 1 5 2 0 6 5 5
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 2 2 5 4 0 3 5 1

Sum = 48 · next multiple of 10 = 50 · check digit = 2 · actual last digit = 2

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1215206552?
NPI 1215206552 is the National Provider Identifier assigned to Nicole Smith, PSY.D., L.P. in Minnetonka, MN. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Clinical Child & Adolescent cover?
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and…
How do I contact Nicole Smith, PSY.D., L.P.?
The phone number on file with NPPES is (952) 215-3759, last updated Jun 26, 2014. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Nicole Smith, PSY.D., L.P. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1215206552 a valid number?
Yes. 1215206552 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.