Deborah L Smith, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY21711 Issued in CA

Practice address

28310 Roadside Dr Ste 202
Agoura Hills, CA 91301-4958

Phone

(714) 865-2164

Fax

(805) 342-2130

NPI assigned

Sep 13, 2010

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1306153283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28310 ROADSIDE DR STE 202",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014958",
            "telephone_number": "714-865-2164",
            "fax_number": "805-342-2130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28310 ROADSIDE DR STE 202",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014958",
            "telephone_number": "714-865-2164",
            "fax_number": "805-342-2130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "141 Duesenberg Dr Ste 9",
            "address_purpose": "LOCATION",
            "city": "Westlake Village",
            "state": "CA",
            "postal_code": "913623484",
            "country_code": "US",
            "telephone_number": "714-865-2164",
            "fax_number": "805-342-2130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DEBORAH",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-13",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY21711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kuldeep Singh
• Lisa Ann Sisson, MA, MFT
• Christine Ann Skehen
• Jonah Adrian Sklan, AGNP
• Daniel C Smith, D.D.S.
• Vivian N Sobel, L.AC. DIPL AC.
• Ali Soltanirad, DDS
• Dena Somerfield
• Dawn Adrian Soto
• South Valley Hospice Services Inc

• Clinical Psychologist in Agoura Hills, CA
• Providers in Agoura Hills, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; 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.