Active NPI
Jennifer Toler Smith, PSY.D.
- Psychologist
- Fresno, CA
National Provider Identifier
1487972238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY23436
- Practice address
- 1734 W Shaw Ave
Fresno, CA 93711-3416 - Phone
- (559) 439-5920
- Fax
- (559) 439-2214
- NPI assigned
- May 4, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY23436 | CA | Primary |
Addresses
Primary practice location
1734 W Shaw Ave
Fresno, CA 93711-3416
Mailing address
1734 W Shaw Ave
Fresno, CA 93711-3416
Phone (559) 439-5920
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Oct 20, 2015 through Oct 20, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY23436 | CA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Link Care Foundation | Psychologist | Past | Accepting new patients |
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": "1272931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272931200000",
"number": "1487972238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1734 W SHAW AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937113416",
"telephone_number": "559-439-5920",
"fax_number": "559-439-2214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1734 W SHAW AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937113416",
"telephone_number": "559-439-5920",
"fax_number": "559-439-2214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "JENNIFER",
"middle_name": "TOLER",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-04",
"last_updated": "2010-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY23436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.