Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1417625047 Individual Practitioner Male Practitioner

Dr. Princeton Jakourtnee Smith , PhD

Psychologist • Deltona, FL

Professional Overview & Biography Verified Profile Summary

Dr. Princeton Smith, PhD is a registered healthcare professional specializing in Psychologist in Deltona, FL. Practice services are available at 1200 DELTONA BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1200 Deltona Blvd

Deltona, FL 327256306

Telephone 4077164564
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Deltona, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.8 Yrs
Regional Practice Density
1 Specialists

Practicing in Deltona, FL (2327 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-02-21
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License FL PY11225

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Secondary Practice Locations

6900 Tavistock Lakes Blvd Ste 400

Orlando, FL 328277593

Phone: 3213268616

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
NPI 1497840045

Registered Pharmacist

Dr. Eduardo Herrera , MD

Psychiatry & Neurology - Psychiatry

NPI 1538188248

Doctor of Medicine (M.D.)

Angela Beech , PA-C

Physician Assistant - Medical

NPI 1538317383

Physician Assistant (Certified)

Patricia Gutierrez , LMHC

Counselor - Mental Health

NPI 1619121761

Licensed Mental Health Counselor

Dr. Mounica Jammu , PharmD

Pharmacist - Ambulatory Care

NPI 1942057872

Doctor of Pharmacy (Pharm.D.)

Zabrina Reynoso , ARNP

Nurse Practitioner

NPI 1942976030

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Business Mailing Address February 21, 2024

Registered at 6900 TAVISTOCK LAKES BLVD STE 400, ORLANDO, FL 328277593 (Tel: 3213268616)

NPI Profile Active August 30, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location August 30, 2021

Registered at 1200 DELTONA BLVD, DELTONA, FL 327256306 (Tel: 4077164564)

📍
Updated Business Mailing Address August 30, 2021

Registered at 10937 MOSS PARK RD UNIT 516, ORLANDO, FL 328326049 (Tel: 2398396959)

👤
Provider Name / Credentials Updated August 30, 2021

Recorded as PRINCETON SMITH, PH.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 30, 2021

Psychologist (License #PY11225 in FL)

🟢
Initial NPI Registration & Enumeration August 30, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417625047
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 30, 2021
Last Update: February 21, 2024
Sole Proprietor: No

Mailing Address

6900 Tavistock Lakes Blvd Ste 400

Orlando, FL 328277593

Phone: 3213268616

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.