Leda L. Smith, PSY. D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY22124 Issued in CA

Practice address

194 E Elm Ave
Suite 102
Coalinga, CA 93210-2800

Phone

(559) 354-9531

Fax

(559) 354-9532

NPI assigned

Oct 7, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1317945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317945600000",
    "number": "1760766752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 E POLK ST # 26",
            "city": "COALINGA",
            "state": "CA",
            "postal_code": "932102311",
            "telephone_number": "559-354-9531",
            "fax_number": "559-354-9532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 E ELM AVE",
            "address_2": "SUITE 102",
            "city": "COALINGA",
            "state": "CA",
            "postal_code": "932102800",
            "telephone_number": "559-354-9531",
            "fax_number": "559-354-9532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LEDA",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "PSY. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-07",
        "last_updated": "2011-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY22124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Shaffer, PSY.D
• Jeffrey David Shein, PH.D.
• Alicia Marie Sherfield, PT
• Nobuyuki Shiraishi, NMT MT-BC LCAT
• Babak Shirvani
• Candy Soares, PSYD
• Clint J Soares, PHD
• Mary Rose Sojor
• Carolina Solorio
• Christopher Stack, PSY.D.

• Clinical Psychologist in Coalinga, CA
• Providers in Coalinga, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2011; 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.