| Dr Frederick Smith, PSYD | |
|
7425 Janes Ave Ste 205, Woodridge, IL 60517-2323 | |
| (331) 481-5547 | |
| Not Available |
| Full Name | Dr Frederick Smith |
|---|---|
| Gender | Male |
| Speciality | Clinical Psychologist |
| Experience | 11 Years |
| Location | 7425 Janes Ave Ste 205, Woodridge, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568971091 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY004131 (Georgia) | Secondary |
| 103TC0700X | Psychologist - Clinical | 071010014 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Thriveworks Clinical - Illinois | 6800263823 | 35 |
| Entity Name | Thriveworks Clinical - Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164190633 PECOS PAC ID: 6800263823 Enrollment ID: O20221104000575 |
| Entity Name | Edgewood Clinical Services P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295914646 PECOS PAC ID: 3971963901 Enrollment ID: O20230721001228 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Frederick Smith, PSYD 7425 Janes Ave Ste 205, Woodridge, IL 60517-2323 Ph: (331) 481-5547 | Dr Frederick Smith, PSYD 7425 Janes Ave Ste 205, Woodridge, IL 60517-2323 Ph: (331) 481-5547 |
Geetha Munisamy, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1420 Tower Hill Dr, Woodridge, IL 60517 Phone: 312-961-1557 | |
Dr. James S Riedel, ED.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 7425 Janes Ave, Suite 200, Woodridge, IL 60517 Phone: 630-852-8451 Fax: 630-852-0554 | |
Dr. Jennifer E Manfre, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6440 Main St Ste 200, Woodridge, IL 60517 Phone: 630-968-0792 Fax: 630-477-0201 |