Kaila Smith Psy D Psychologist Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

KAILA SMITH PSY D PSYCHOLOGIST INC

Practice address

4080 Centre St Ste 202
San Diego, CA 92103-2657

Phone

(619) 880-0193

Fax

(619) 860-1264

NPI assigned

Jan 13, 2020

Organization subpart

No

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

Authorized official

Name

Kaila Smith, PSY D PSYCHOLOGIST

Title

President

Phone

(619) 880-0193

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1578873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578873600000",
    "number": "1366082802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4080 CENTRE ST STE 202",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032657",
            "telephone_number": "619-880-0193",
            "fax_number": "619-860-1264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4080 CENTRE ST STE 202",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032657",
            "telephone_number": "619-880-0193",
            "fax_number": "619-860-1264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAILA SMITH PSY D PSYCHOLOGIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-13",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KAILA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-880-0193",
        "authorized_official_credential": "PSY D PSYCHOLOGIST"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PSY31578",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Mattias Kahru
• Tsehainesh Arefaine Kahsay
• Kristina Kahveciyan, LAC, DTCM
• Claire Kaiden
• David Kaiden, MD
• Kristan Kaine, PA-C
• Jennifer Lee Kairis, M.S.ED,
• Lorri A. Kais, PHD
• Kaiser
• Kaiser Foundation Health Plan Inc

• Clinical Psychologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.