Klayton Smith, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

26638 Issued in CA

Practice address

21633 Avenue 24
Chowchilla, CA 93610-9650

Phone

(559) 665-6100

NPI assigned

Sep 15, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• California Department of Corrections &Rehabilitation

  • Rural Health Clinic/Center
  • Chowchilla, CA
  • NPI 1073710398
  NPD (past)
• State of California

  dba California Correctional Health Care Services

  • Prison Health Clinic/Center
  • Chowchilla, CA
  • NPI 1316322647
  NPD (past)

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1609184340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4067 ALBRIGHT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900665401",
            "telephone_number": "310-603-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21633 AVENUE 24",
            "city": "CHOWCHILLA",
            "state": "CA",
            "postal_code": "936109650",
            "telephone_number": "559-665-6100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "614 W Manchester Blvd",
            "address_purpose": "LOCATION",
            "city": "Inglewood",
            "state": "CA",
            "postal_code": "903011656",
            "country_code": "US",
            "telephone_number": "310-902-1302",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24511 W Jayne Ave",
            "address_purpose": "LOCATION",
            "city": "Coalinga",
            "state": "CA",
            "postal_code": "932109503",
            "country_code": "US",
            "telephone_number": "559-935-4300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "707 W Muncie Ave",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "CA",
            "postal_code": "936194848",
            "country_code": "US",
            "telephone_number": "310-902-1302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KLAYTON",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-15",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "26638",
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "26638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Estephanie Sandoval
• Jacqueline Schneiderman, PHD
• Marshall Schott
• Tin-Aung Shwe, MD
• Satinder Pal Singh, DDS
• Lisa Snauffer Dunshee, DDS
• Monica Solis
• Brianna Michelle Soto
• Sylvia Doris Souza, PSY.D.
• Joanne Francis Spalding, M.D.

• Psychologist in Chowchilla, CA
• Providers in Chowchilla, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.