Individual provider Active NPI

Catherine S Smith, PH.D.

  • Clinical Psychologist
  • South Pasadena, CA
National Provider Identifier
1699799437
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY8355 Issued in CA
Practice address
1605 Hope St
Suite 305
South Pasadena, CA 91030-2628
Phone
(626) 403-8075
Fax
(626) 398-1228
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PSY8355 CA Primary

Addresses

Primary practice location

1605 Hope St
Suite 305
South Pasadena, CA 91030-2628

Mailing address

1605 Hope St
Suite 305
South Pasadena, CA 91030-2628
Phone (626) 403-8075

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
I20110223001028 CA Practitioner - Clinical Psychologist 4880875855 Practice locations: South Pasadena, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1605 Hope St
South Pasadena, CA 91030-2689
Phone (626) 403-8075

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY8355CAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699799437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 HOPE ST",
            "address_2": "SUITE 305",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910302628",
            "telephone_number": "626-403-8075",
            "fax_number": "626-398-1228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 HOPE ST",
            "address_2": "SUITE 305",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910302628",
            "telephone_number": "626-403-8075",
            "fax_number": "626-398-1228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CATHERINE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY8355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Pasadena, CA

Sources for this page

Verify at the official NPI Registry.