Active NPI
Courtney Smith-Kilbury, PH.D.
- Psychologist
- Walnut Creek, CA
National Provider Identifier
1649604117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY25970
- Practice address
- 1460 Maria LN Ste 300
Walnut Creek, CA 94596-5314 - Phone
- (925) 390-3980
- NPI assigned
- Sep 2, 2013
- 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 | PSY25970 | CA | Primary |
Addresses
Primary practice location
1460 Maria LN Ste 300
Walnut Creek, CA 94596-5314
Mailing address
1460 Maria LN Ste 300
Walnut Creek, CA 94596-5314
Phone (925) 390-3980
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Aug 12, 2024 through Aug 12, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25970 | CA | MD | Neurorehabilitation Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787788800000",
"number": "1649604117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1460 MARIA LN STE 300",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945965314",
"telephone_number": "925-390-3980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1460 MARIA LN STE 300",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945965314",
"telephone_number": "925-390-3980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH-KILBURY",
"first_name": "COURTNEY",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-02",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY25970",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.