Alexis Smith PSYD Clinical PS Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

28050 Issued in CA

Legal business name

ALEXIS SMITH PSYD CLINICAL PS INC

Practice address

1855 San Miguel Dr Ste 23
Walnut Creek, CA 94596-5290

Phone

(925) 324-1593

NPI assigned

Jan 24, 2018

Organization subpart

No

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

Authorized official

Name

Alexis Smith, PSYDNPI 1063741601

Title

Ceo

Phone

(925) 324-1593

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alexis Smith, PSY.D.

  • Clinical Psychologist
  • Walnut Creek, CA
  • NPI 1063741601
  Medicare reassignment NPD Authorized official
• Howard J. Friedman, PH.D.

  • Clinical Neuropsychologist
  • Walnut Creek, CA
  • NPI 1578789780
  NPD

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

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724889600000",
    "number": "1164920278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 SAN MIGUEL DR STE 23",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965290",
            "telephone_number": "925-324-1593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 SAN MIGUEL DR STE 23",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965290",
            "telephone_number": "925-324-1593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXIS SMITH PSYD CLINICAL PS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-24",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "925-324-1593",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CA",
            "license": "28050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aleracare Medical Group of California, a Medical Corporation
• Alex Rader DDS Inc
• Nicole Elizabeth Alexander, NP
• Tia Alexander
• Alexis Griffith Chiropractic Corporation
• Viviane D Alfandary, M.D.
• Denise Alfaro
• Cherlyn Faith Alferos, FNP
• Robert Chance Algar, MD
• Ali Alijanian DDS PC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.