Provider Demographics
NPI:1730071531
Name:MATHEW-SMITH, NEENA (PSYD)
Entity type:Individual
Prefix:
First Name:NEENA
Middle Name:
Last Name:MATHEW-SMITH
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:NEENA
Other - Middle Name:
Other - Last Name:MATHEW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:393 METLARS LN
Mailing Address - Street 2:
Mailing Address - City:PISCATAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08854-5150
Mailing Address - Country:US
Mailing Address - Phone:516-474-1837
Mailing Address - Fax:
Practice Address - Street 1:393 METLARS LN
Practice Address - Street 2:
Practice Address - City:PISCATAWAY
Practice Address - State:NJ
Practice Address - Zip Code:08854-5150
Practice Address - Country:US
Practice Address - Phone:516-474-1837
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-16
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY026663-01103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty