Frederick Smith, PSY.D.
NPI 1568971091ActiveIndividual· Psychologist, Clinical· Woodridge, IL
Psychologist, Clinical (PSY.D.) with Thriveworks Clinical - Illinois, practicing in Woodridge, Illinois. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1568971091 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSY.D. |
| Sole proprietor | No |
| NPI issued | Sep 27, 2017 |
| Last updated in NPPES | Jan 31, 2023 |
| Certified by provider | Jan 31, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 071010014 | IL |
| Psychologist, Clinical | 103TC0700X | PSY004131 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (IL) |
|---|
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical group
- Thriveworks Clinical - IllinoisWoodridge, IL · 45 clinicians
Other Psychologist, Clinical providers in Woodridge
- 1447793591
- 1407146376
- 1912167636
- 1841699220
- 1871639203