Active NPI
Taylor Foster Smith, PHD
- Clinical Child & Adolescent Psychologist
- San Luis Obispo, CA
National Provider Identifier
1134582299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- 28183
- Practice address
- 1411 Marsh St
Suite 106
San Luis Obispo, CA 93401-2957 - Phone
- (805) 242-6462
- Fax
- (844) 733-9350
- NPI assigned
- Apr 5, 2016
- 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 Child & Adolescent Psychologist | 103TC2200X | 28183 | CA | Primary |
Addresses
Primary practice location
1411 Marsh St
Suite 106
San Luis Obispo, CA 93401-2957
Mailing address
1411 Marsh St
Suite 106
San Luis Obispo, CA 93401-2957
Phone (805) 242-6462
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 24, 2026 through Feb 24, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
Interoperability endpoints
- https://api.platform.athenahealth.com/26439/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459814400000",
"number": "1134582299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1411 MARSH ST",
"address_2": "SUITE 106",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934012957",
"telephone_number": "805-242-6462",
"fax_number": "844-733-9350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1411 MARSH ST",
"address_2": "SUITE 106",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934012957",
"telephone_number": "805-242-6462",
"fax_number": "844-733-9350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "TAYLOR",
"middle_name": "FOSTER",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-05",
"last_updated": "2016-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "CA",
"license": "28183",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Luis Obispo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.