National Provider Identifier Database

TIMOTHY D LE JACQ SMITH, PSY.D. – NPI #1295848091
Clinical

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.


Contact Information

TIMOTHY D LE JACQ SMITH, PSY.D.
501 ANGELL ST
PROVIDENCE, RI02906-4467
Phone: 401-243-4199
Fax:
Website:
Specialty Taxonomy Code
* Clinical 103TC0700X

* Indicates primary specialty

NPI Profile & details for TIMOTHY D LE JACQ SMITH

NPI Number 1295848091
Credentials PSY.D. (Doctor of Psychology)
Entity Individual
Enumeration date 08/16/2006
Last updated 02/05/2026 - About 4 months ago
Sole proprietor1 Yes
Identifiers
  • MA License #: 8125
  • RI License #: PS00764
  • RI Other: 26545-2 BCBSRPROVIDER NUMBERI
  • RI Other: 1034540 BEACON HEALTH ID NUMBER
  • RI Other: 410489 BLUE CHIP RI PROVIDER ID
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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