Individual provider Active NPI

Dana Leigh Schmidt, PSY.D.

  • Clinical Psychologist
  • La Jolla, CA
National Provider Identifier
1518627017
Registry record updated Dec 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY32691 Issued in CA
Practice address
9404 Genesee Ave Ste 215
La Jolla, CA 92037-1354
Phone
(858) 531-6689
NPI assigned
Dec 23, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2021

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 PSY32691 CA Primary

Addresses

Primary practice location

9404 Genesee Ave Ste 215
La Jolla, CA 92037-1354

Mailing address

9404 Genesee Ave Ste 215
La Jolla, CA 92037-1354
Phone (858) 531-6689

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL drdanaleighschmidt.clientsecure.me

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PSY32691CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Assist Performance & Psychological Services Clinical Current 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": "1640217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640217600000",
    "number": "1518627017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9404 GENESEE AVE STE 215",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371354",
            "telephone_number": "858-531-6689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9404 GENESEE AVE STE 215",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371354",
            "telephone_number": "858-531-6689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "DANA",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-23",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY32691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "drdanaleighschmidt.clientsecure.me",
            "affiliation": "N",
            "endpointDescription": "Practice management software and EHR",
            "address_1": "9404 Genesee Ave Ste 215",
            "city": "LA Jolla",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920371354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2021; 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.