Tiffany K Smith, PSY.D.

Primary specialty

Forensic PsychologistTaxonomy code 103TF0200X

License

PSY20700 Issued in CA

Practice address

535 N Alameda St
Los Angeles, CA 90012-3405

Phone

(213) 485-0439

Fax

(213) 253-9582

NPI assigned

Mar 12, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Metropolitan Detention Center Los Angeles

  • Prison Health Clinic/Center
  • Los Angeles, CA
  • NPI 1144050097
  NPD
• Clinical Counseling Center

  • Clinic/Center
  • Sherman Oaks, CA
  • NPI 1093945065
  NPD (past)

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667001600000",
    "number": "1346372638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 53531",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900530531",
            "telephone_number": "213-485-0439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 N ALAMEDA ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900123405",
            "telephone_number": "213-485-0439",
            "fax_number": "213-253-9582"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15300 Ventura Blvd",
            "address_2": "#503",
            "address_purpose": "LOCATION",
            "city": "Sherman Oaks",
            "state": "CA",
            "postal_code": "914033103",
            "country_code": "US",
            "telephone_number": "818-986-1161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TIFFANY",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2022-10-29",
        "certification_date": "2022-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 20700",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "PSY 20700",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "CA",
            "license": "PSY20700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tairou Smith, MFTI
• Tamora Smith
• Taylor K. Smith, LMFT
• Tehya Smith
• Terry Alan Smith, PH.D.
• Timon A. Smith
• Travis Hsu Smith
• Trisha Lenore Smith, D.C.
• Tyrone Smith
• Vernon Russell Smith Sr.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2022; 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.