Paula Jean Smith-Marder, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY6560 Issued in CA

Practice address

10921 Wilshire Blvd
513
Los Angeles, CA 90024-3906

Phone

(310) 824-5886

Fax

(310) 824-5838

NPI assigned

Nov 27, 2006

Sex

Female

Sole proprietor

Yes

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

Opted out of Medicare

Yes, effective Apr 1, 2017 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285700948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 LACHMAN LN",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902722224",
            "telephone_number": "310-454-4405",
            "fax_number": "310-824-5838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10921 WILSHIRE BLVD",
            "address_2": "513",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900243906",
            "telephone_number": "310-824-5886",
            "fax_number": "310-824-5838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH-MARDER",
        "first_name": "PAULA",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY6560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Byron Smith Sr. Sr.
• Heather Smith Wingren
• Tahira Ayanna Smith-Aifesehi, CRNA
• Donald Smith-Arizmendi, PHARMD
• Joseph Richard Smith-Lopez, MSW
• Cymbeline Smith-Rowshan
• Clyette S Smith-Wilcher, NP
• Adrianna Renee Smith
• Adrienne Lynn Smith
• Alan P Smith, BA

• Psychologist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.