STEPHANIE SMITH (NPI# 1346700325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346700325 |
| Entity Type | Individual |
| Full Name | STEPHANIE SMITH |
| Practice Address |
4004 Beyer Blvd San Ysidro CA 92173-2007 |
| Mailing Address |
Po Box 2460 El Cajon CA 92021-0460 |
| Practice Telephone | 6196624100 |
| Mailing Telephone | 6196318689 |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2019-04-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 30779 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10650 Scripps Ranch Blvd Ste 200, San Diego, CA 921312471 | 8582175770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972118362 | Stephanie Malika Smith | Speech-Language Pathologist | 1041 Rabon Pond Dr, Columbia, SC 29223-5866 | 2020-09-11 |
| 1215577952 | Stephanie Joy Smith | Specialist/Technologist | 12775 Stockdale Highway, Bakersfield, CA 93314 | 2020-01-10 |
| 1578123238 | Stephanie Smith | Doula | 7504 Pinnacle Pl Se, Snoqualmie, WA 98065-8981 | 2019-06-15 |
| 1487114559 | Stephanie D Smith | Registered Nurse | 921 Gibson St, Titusville, FL 32780-7721 | 2019-03-23 |
| 1144786583 | Stephanie Lynn Smith | Dietitian, Registered | 4375 Fair Lakes Ct, Fairfax, VA 22033-4234 | 2019-02-11 |
| 1427521533 | Stephanie Michelle Smith | Physician Assistant | 2025 Williams Farm Rd, Virginia Beach, VA 23457-1390 | 2019-01-10 |
| 1275016958 | Stephanie Grace Smith | Occupational Therapist | 267 Timberpoint Rd, East Islip, NY 11730-3319 | 2018-09-10 |
| 1801381546 | Stephanie Smith | Specialist/Technologist | 155 Miami St, Tiffin, OH 44883-2161 | 2018-06-26 |
| 1013408079 | Stephanie M Smith | Massage Therapist | 3613 Williams Dr Ste 1003, Georgetown, TX 78628-1376 | 2018-05-25 |
| 1871092429 | Stephanie Jill Smith | Counselor | 4405 Padre Blvd, South Padre Island, TX 78597-7324 | 2018-02-09 |
| Street Address |
4004 BEYER BLVD |
| City | SAN YSIDRO |
| State | CA |
| Zip Code | 92173-2007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407852098 | Suzanne K Becker | Family Medicine | 4004 Beyer Blvd, San Ysidro, CA 92173-2007 | 2005-06-28 |
| 1508476474 | Manuela Mercedes Soto-mendez | Counselor | 4004 Beyer Blvd, San Ysidro, CA 92173-2007 | 2020-08-05 |
| 1912530312 | Yessica Lupita Hernandez | Registered Nurse | 4004 Beyer Blvd, San Ysidro, CA 92173-2099 | 2020-02-13 |
| 1477115327 | Karen Sales | Health Educator | 4004 Beyer Blvd, San Ysidro, CA 92173-2007 | 2019-07-01 |
| 1306408232 | Alma N Sandoval | Health Educator | 4004 Beyer Blvd, San Ysidro, CA 92173-2007 | 2019-07-01 |
| 1972165819 | Ariel Natalie Servin | Health Educator | 4004 Beyer Blvd, San Ysidro, CA 92173-2007 | 2019-07-01 |
| 1164989919 | Valerie Ann Reyes Gaurano | Pharmacist | 4004 Beyer Blvd, San Ysidro, CA 92173-2099 | 2019-02-28 |
| 1184181224 | Warren Edwin Quigley | Pharmacist | 4004 Beyer Blvd, San Ysidro, CA 92173-2007 | 2019-02-25 |
| 1255845608 | Erika Andrea Reyes | Dental Hygienist | 4004 Beyer Blvd, San Ysidro, CA 92173-2007 | 2017-11-21 |
| 1518401827 | Raul Ochoa | Chiropractor | 4004 Beyer Blvd, San Ysidro, CA 92173-2099 | 2016-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740707595 | Edith Gisel Herrera | Specialist/Technologist | 2370 Smythe Avenue #8, San Ysidro, CA 92173 | 2017-08-23 |
| 1508286709 | Negin Rajaipour | Family Medicine | 1601 Precision Park Ln, San Ysidro, CA 92173 | 2014-04-26 |
| 1962588376 | Jose Maria Alanis Amezcua | Obstetrics & Gynecology | 185 West San Ysidro Blvd, San Ysidro, CA 92173 | 2006-10-27 |
| 1346251535 | Yadira L Gamez | Dentist | 2004 Dairy Mart Rd, Ste 120, San Ysidro, CA 92173 | 2006-08-11 |
| 1558852947 | Centro De Salud De La Comunidad De San Ysidro Inc | Clinic/Center | 4050 Beyer Blvd, San Ysidro, CA 92173 | 2018-05-22 |
| 1023215084 | Nanci Haruko Quinones Clifford | Physical Therapist | 4650 Palm Ave., San Diego, CA 92173-0000 | 2007-07-02 |
| 1891137386 | Altay Nikkisha Jones Johnson | Licensed Vocational Nurse | 3055 Iris Ave Unit D, San Ysidro, CA 92173-1146 | 2013-07-24 |
| 1689221558 | Hector Puga Hernandez | Driver | 1811 Howard Ave, San Ysidro, CA 92173-1238 | 2019-08-24 |
| 1689180846 | Amy Denise Reyes | Behavior Technician | 1829 Howard Ave, San Ysidro, CA 92173-1238 | 2017-12-22 |
| 1265843122 | Centro De Salud De La Comunidad De San Ysidro, Inc. | Clinic/Center | 3364 Beyer Blvd, Suite #102 & #103, San Ysidro, CA 92173-1322 | 2014-05-14 |
| Find all providers in zip 92173 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740394386 | Berenice Ibanez | Psychologist | 4004 Beyer Blvd, San Ysidro, CA 92173-2007 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992306690 | Eileen Kay Laughman | Psychologist | 24545 Town Center Dr Apt 5406, Valencia, CA 91355-1397 | 2020-11-08 |
| 1194324954 | Rachel Charman | Psychologist | 1001 Dove St Ste 110, Newport Beach, CA 92660-2845 | 2020-10-22 |
| 1700485760 | Melissa Ernestine Munoz | Psychologist | 353 H St # 1517, Chula Vista, CA 91910-5501 | 2020-10-21 |
| 1235737669 | Maha Nasrallah-babenko | Psychologist | 33442 Valley View Ct, Dana Point, CA 92629-1515 | 2020-10-16 |
| 1689272544 | Kaleidoscope Solutions Family Therapy | Psychologist | 25876 The Old Road, #85, Stevenson Ranch, CA 91381 | 2020-10-13 |
| 1992302814 | Sheena Gill | Psychologist | 2501 E Chapman Ave Ste 265, Fullerton, CA 92831-3108 | 2020-10-04 |
| 1255948600 | Kesha Patrice | Psychologist | 939 Ellis St, San Francisco, CA 94109-7714 | 2020-09-29 |
| 1841807401 | Midori K Dirig | Psychologist | 405 W. 3rd Street, Santa Ana, CA 92701 | 2020-09-28 |
| 1376159541 | Jill Caryn Campbell | Psychologist | 342 Ocho Rios Way, Oak Park, CA 91377-5541 | 2020-09-22 |
| 1225644487 | Brock Louis Pistel | Psychologist | 939 Ellis St Fl 67, San Francisco, CA 94109-7714 | 2020-09-22 |
| Find all providers with the same taxonomy | ||||
| City | SAN YSIDRO |
| Zip Code | 92173 |
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| 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.