DR. SHELBY KAROLINE SMITH (NPI# 1225581804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225581804 |
| Entity Type | Individual |
| Full Name | DR. SHELBY KAROLINE SMITH |
| Credential | PSY.D. |
| Practice Address |
710 S Broadway Ste 300 Walnut Creek CA 94596-5229 |
| Practice Telephone | 9252952960 |
| Mailing Telephone | 9252952960 |
| Enumeration Date | 2016-07-29 |
| Last Update Date | 2016-07-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
27912 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790304939 | Shelby Ann Smith | Behavioral Analyst | 1161 Main St, Jenkins Township, PA 18640-1557 | 2020-04-08 |
| 1467929257 | Shelby Lynn Smith | Behavior Technician | 56 Gaymore Rd, Port Jefferson Station, NY 11776-1353 | 2018-10-30 |
| 1184164782 | Shelby Lynn Smith | Specialist/Technologist | 6035 Radio Station Rd, La Plata, MD 20646-3369 | 2017-03-01 |
| 1659736809 | Shelby Deason Smith | Counselor | 300 Erin Ave Apt 4, Monroe, LA 71201-4606 | 2015-12-15 |
| 1073744280 | Shelby Colquitt Smith | Nurse Practitioner | 6308 Adams Park Dr, Columbus, GA 31909-3528 | 2009-08-05 |
| 1437285038 | Shelby Allen Smith | Family Medicine | 3850 S. National Ave, #520, Springfield, MO 65807-5230 | 2007-02-26 |
| 1093752123 | Shelby K Smith | Chiropractor | 1568 Southlake Pkwy Ste B, Morrow, GA 30260 | 2006-05-31 |
| 1700882784 | Shelby J. Smith | Dentist | 2213 Buchanan Rd, Ste 112, Antioch, CA 94509-4265 | 2005-06-23 |
| 1114554078 | Shelby Smith | Orthopaedic Surgery | 1620 W Harrison St, Chicago, IL 60612-3801 | 2020-03-23 |
| 1639720287 | Shelby Denise Smith | Counselor | 605 W Oxford Ave, Enid, OK 73701-1208 | 2019-09-25 |
| Street Address |
710 S BROADWAY STE 300 |
| City | WALNUT CREEK |
| State | CA |
| Zip Code | 94596-5229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336206721 | Stewart Proctor | Psychologist | 710 S Broadway Ste 300, Walnut Creek, CA 94596-5229 | 2007-01-03 |
| 1871124222 | Stephanie Gade | Psychologist | 710 S Broadway Ste 300, Walnut Creek, CA 94596-5229 | 2020-02-03 |
| 1245879725 | Jamie Ashley Williams | Social Worker | 710 S Broadway Ste 300, Walnut Creek, CA 94596-5229 | 2019-12-31 |
| 1750928354 | Lisa Michelle Walker | Pharmacist | 710 S Broadway Ste 300, Walnut Creek, CA 94596-5229 | 2019-12-03 |
| 1700368974 | Lauren Ellis | Marriage & Family Therapist | 710 S Broadway Ste 300, Walnut Creek, CA 94596-5229 | 2018-09-04 |
| 1659898484 | Anne Rachel Serrano Guijo | Registered Nurse | 710 S Broadway Ste 300, Walnut Creek, CA 94596-5229 | 2017-08-23 |
| 1467865170 | Alexandra Crockett | Counselor | 710 S Broadway Ste 300, Walnut Creek, CA 94596-5229 | 2014-06-10 |
| 1225308711 | Matthew Terry Haynes | Social Worker | 710 S Broadway Ste 300, Walnut Creek, CA 94596-5229 | 2011-12-30 |
| 1730365248 | Catherine Fan Dionisio | Psychologist | 710 S Broadway Ste 300, Walnut Creek, CA 94596-5229 | 2008-01-15 |
| 1396891651 | Jason Allen Spenser | Social Worker | 710 S Broadway Ste 300, Walnut Creek, CA 94596-5229 | 2007-01-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467917229 | Alison M Khaddour | Behavior Technician | 800 S Broadway Ste. 310, Walnut Creek, CA 94596 | 2019-02-06 |
| 1134683618 | Ian Colas | Respiratory Therapist, Certified | 1425 South Main Street, Walnut Creek, Walnut Creek, CA 94596 | 2019-01-29 |
| 1912474131 | Albert Dizon Miraflores | Behavior Technician | 1910 Olympic Blvd Walnut Creek Ca 94596, Walnut Creek, CA 94596 | 2018-10-25 |
| 1487136834 | Daryn Stier | Social Worker | 80 Norlyn Drive, Walnut Creek, CA 94596 | 2018-09-02 |
| 1831682335 | Jessica Lim | Registered Nurse | 1357 Oakland Blvd, Walnut Creek, CA 94596 | 2018-06-08 |
| 1699278432 | Alanna Everhart | Behavior Technician | 877 Ygnacio Valley Road, Suite 100, Walnut Creek, CA 94596 | 2018-03-16 |
| 1962958108 | Derek Jue Md | Clinic/Center | 1812 San Miguel Drive, Walnut Creek, CA 94596 | 2016-08-28 |
| 1912369711 | Pamela Jean Lister | Marriage & Family Therapist | 2070 N Broadway, #5370, Walnut Creek, CA 94596 | 2016-03-22 |
| 1548635147 | Anne Lamoreaux Anderson | Behavioral Analyst | 800 South Broadway Suite #310, Walnut Creek, CA 94596 | 2015-12-08 |
| 1346619434 | Christine Anne Gotelli | Registered Nurse | 370 N. Civic Drive #311, San Francico, CA 94596 | 2015-09-18 |
| Find all providers in zip 94596 | ||||
| Taxonomy Code | 103TA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154472611 | Carl Gerard Oddo | Psychologist | 710 S Broadway Fl 3, Walnut Creek, CA 94596-5294 | 2007-01-12 |
| 1508073792 | Ann Lynn Schiebert | Psychologist | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2007-05-17 |
| 1497802524 | Claudia Ann Wathen | Psychologist | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2007-01-03 |
| 1205993029 | Margot Green | Psychologist | 1425 S Main St, Chemical Dependency Program, Walnut Creek, CA 94596-5318 | 2007-01-02 |
| 1083781439 | Catharine Elizabeth Kibira | Psychologist | 710 S Broadway, Walnut Creek, CA 94596-5294 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293199 | Corinne Guerrero | Psychologist | 4820 Melrose Ave, Oakland, CA 94601-5346 | 2020-10-19 |
| 1326661331 | Dr Susan Shapiro Psychologist, Inc | Psychologist | 1647 S Hayworth Ave, Los Angeles, CA 90035-4513 | 2020-05-26 |
| 1326669011 | Northstar Detox & Rehab Center, LLC | Psychologist | 19500 Winifred St, Tarzana, CA 91356-3815 | 2020-05-04 |
| 1548891443 | Catalyst Recovery LLC | Psychologist | 10250 Constellation Blvd Ste 100, Los Angeles, CA 90067-6272 | 2020-01-29 |
| 1932765336 | Mischka Psychological PC | Psychologist | 4468 Phelan Rd, Phelan, CA 92371-4098 | 2019-05-13 |
| 1851955181 | Matthew Taylor | Psychologist | 27645 E Trail Ridge Way Apt 1007, Moreno Valley, CA 92555-3122 | 2019-04-23 |
| 1790249894 | Lags Spine and Sportscare Medical Centers, Inc. | Psychologist | 3751 E Shields Avenue, Fresno, CA 93726 | 2019-01-23 |
| 1639640766 | Lidia Janette Aguilar | Psychologist | 4958 Gabrielieno Ave, Oceanside, CA 92057-4434 | 2018-12-16 |
| 1215428230 | Chances Counseling Centers LLC | Psychologist | 2727 N Bristol St, Santa Ana, CA 92706 | 2018-05-24 |
| 1295253953 | Raphael Gidharry Johnson | Psychologist | 1753 N. Country Ln., Pasadena, CA 91107-1104 | 2017-09-01 |
| Find all providers with the same taxonomy | ||||
| City | WALNUT CREEK |
| Zip Code | 94596 |
Please comment or provide details below to improve the information on DR. SHELBY KAROLINE SMITH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.