Individual provider Active NPI

Chelsea Irene Smith, PSYD

  • Clinical Psychologist
  • Valencia, CA
National Provider Identifier
1487087045
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
33828 Issued in CA
Practice address
23822 Valencia Blvd Ste 207
Valencia, CA 91355-5348
Phone
(661) 437-3287
Fax
(661) 244-3513
NPI assigned
Aug 17, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 33828 CA Primary

Addresses

Primary practice location

23822 Valencia Blvd Ste 207
Valencia, CA 91355-5348

Mailing address

23822 Valencia Blvd Ste 207
Valencia, CA 91355-5348
Phone (661) 437-3287

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230124001844 CA Practitioner - Clinical Psychologist 2769853027 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Judd Psychological Services Inc CurrentSince Dec 22, 2022 Accepting new patients

Locations

23822 Valencia Blvd
Ste 207
Valencia, CA 91355
Phone (661) 437-3287

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1376697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1487087045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23822 VALENCIA BLVD STE 207",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913555348",
            "telephone_number": "661-437-3287",
            "fax_number": "661-244-3513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23822 VALENCIA BLVD STE 207",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913555348",
            "telephone_number": "661-437-3287",
            "fax_number": "661-244-3513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHELSEA",
        "middle_name": "IRENE",
        "name_prefix": "Mrs.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-17",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "33828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valencia, CA

Sources for this page

Verify at the official NPI Registry.