Active NPI
Aaron Smith, PSY.D.
- Clinical Psychologist
- Corona, CA
National Provider Identifier
1063535672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 27941
- Practice address
- 4160 Temescal Canyon Rd
St 309
Corona, CA 92883-4625 - Phone
- (951) 317-4499
- NPI assigned
- Apr 9, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY 27941 | CA | Primary |
Addresses
Primary practice location
4160 Temescal Canyon Rd
St 309
Corona, CA 92883-4625
Mailing address
4160 Temescal Canyon Rd
St 309
Corona, CA 92883-4625
Phone (951) 317-4499
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 27941 | CA | MD | Clinical Psychologist |
| 27941 | CA | MD | Geriatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aaron D. Smith, Psy.D. a Psychological Corporation | Current | Accepting new patients |
Locations
4160 Temescal Canyon Rd
Ste 309
Corona, CA 92883
Phone (951) 317-4499
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Corona, CA
- NPI 1063000248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453075200000",
"number": "1063535672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4160 TEMESCAL CANYON RD",
"address_2": "ST 309",
"city": "CORONA",
"state": "CA",
"postal_code": "928834625",
"telephone_number": "951-317-4499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4160 TEMESCAL CANYON RD",
"address_2": "ST 309",
"city": "CORONA",
"state": "CA",
"postal_code": "928834625",
"telephone_number": "951-317-4499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "AARON",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-09",
"last_updated": "2016-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 27941",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.