Amy Marie Smith, PSY.D

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3145 Issued in CA

Practice address

501 S Reino Rd # 192
Newbury Park, CA 91320-4269

Phone

(805) 203-3743

NPI assigned

Apr 17, 2025

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Thrive Neuropsychology, Inc.

  • Psychologist
  • Newbury Park, CA
  • NPI 1932995552
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1744848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1073309753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S REINO RD # 192",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913204269",
            "telephone_number": "805-203-3743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S REINO RD # 192",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913204269",
            "telephone_number": "805-203-3743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "AMY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-17",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "3145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Johnson Shafer, LCSW
• Minhua Shen, L.AC.
• Shilpa Jindani Inc
• Asra Suhel Iqbal Siddiqui, M.D.
• Jennifer Kezia Simon
• Leslie A. Solomon, D.D.S.
• Shannon Lea Solomon, R.D.
• Ayesha Soni, DDS
• Southern Illinois Sleep Services LLC
• Speech Improvement Center

• Psychologist in Newbury Park, CA
• Providers in Newbury Park, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.