DR. CARLA SMITH (NPI# 1982847059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982847059 |
| Entity Type | Individual |
| Full Name | DR. CARLA SMITH |
| Credential | PSY.D. |
| Practice Address |
251 Georgia St Vallejo CA 94590-5905 |
| Practice Telephone | 7075346065 |
| Practice Fax Number | 7075588196 |
| Mailing Telephone | 7075346065 |
| Mailing Fax Number | 7075588196 |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2013-08-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TF0200X |
Psychologist Specialization: Forensic |
PSY25810 | CA | Behavioral Health & Social Service Providers |
| N | 103TF0200X |
Psychologist Specialization: Forensic |
Behavioral Health & Social Service Providers | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013484401 | Carla Smith | Contractor | 8413 Boones Trail Rd, Chesterfield, VA 23832-7684 | 2018-10-24 |
| 1538656251 | Carla Rae Smith | Occupational Therapist | 8000 Lotts Creek Rd, Hazard, KY 41701-9046 | 2018-04-18 |
| 1144668823 | Carla Smith | Registered Nurse | 6537 W Fayetteville Rd, Riverdale, GA 30296-2522 | 2013-06-04 |
| 1487992723 | Carla Smith | Social Worker | 425 Luther Rd, Johnstown, PA 15904-2741 | 2013-01-22 |
| 1205117702 | Carla Smith | Speech-Language Pathologist | 1119 Lake Country Dr, Seabrook, TX 77586-4511 | 2011-08-30 |
| 1275771644 | Carla Irven Smith | Chiropractor | 340 W 37th St, Loveland, CO 80538-2260 | 2009-01-23 |
| 1457446510 | Carla B Smith | Pediatrics | 225 Se John Jones Dr, Burleson, TX 76028 | 2006-10-04 |
| 1841230745 | Carla M Smith | Social Worker | 4777 E Outer Dr, Ste 183, Detroit, MI 48234-3241 | 2006-06-08 |
| 1336145721 | Carla S Smith | Orthopaedic Surgery | 3015 Squalicum Pkwy Ste 200, Bellingham, WA 98225-1906 | 2005-06-22 |
| 1124629035 | Carla Sue Smith | Clinical Nurse Specialist | 1005 Broadway St, Quincy, IL 62301-2834 | 2020-11-06 |
| Street Address |
251 GEORGIA ST |
| City | VALLEJO |
| State | CA |
| Zip Code | 94590-5905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699246603 | Kathie Anne Pongrace | Social Worker | 251 Georgia St, Vallejo, CA 94590-5905 | 2018-12-17 |
| 1275011637 | Sean Traynor | Substance Abuse Rehabilitation Facility | 251 Georgia St, Vallejo, CA 94590-5905 | 2018-07-29 |
| 1275010613 | Joann Martinez | Counselor | 251 Georgia St, Vallejo, CA 94590 | 2018-07-27 |
| 1467939017 | Alexandra Miguel | Counselor | 251 Georgia St, Vallejo, CA 94590-5905 | 2018-07-26 |
| 1336626811 | Daryl Tilghman | Counselor | 251 Georgia St, Vallejo, CA 94590-5905 | 2018-07-26 |
| 1437636081 | Daniel Snyder | Counselor | 251 Georgia St, Vallejo, CA 94590-5905 | 2018-07-26 |
| 1457838005 | Mary Adekale | Counselor | 251 Georgia St, Vallejo, CA 94590-5905 | 2018-07-26 |
| 1760907026 | Cora Leung | Counselor | 251 Georgia St, Vallejo, CA 94590-5905 | 2017-08-08 |
| 1477078731 | Katelin Filipps | Counselor | 251 Georgia St, Vallejo, CA 94590-5905 | 2017-08-08 |
| 1013452838 | Sureli K Patel | Counselor | 251 Georgia St, Vallejo, CA 94590-5905 | 2017-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265051445 | Jaspreet Bains | Licensed Vocational Nurse | 508 Alabama Street, Vallejo, CA 94590 | 2020-04-08 |
| 1467097527 | Deneane Hannon | Behavioral Analyst | 238 Georgia St. Ste 102, Vallejo, CA 94590 | 2019-11-13 |
| 1780243196 | Abla Harara Almoraissi | Health Educator | John F. Kennedy Library, 505 Santa Clara St, Vallejo, CA 94590 | 2019-06-10 |
| 1891264461 | Brian Emory Kellogg | Marriage & Family Therapist | 525 Oregon St., Php/iop, Vallejo, CA 94590 | 2018-11-13 |
| 1952801862 | Carica Theresa Saraza Macariola | Specialist/Technologist | 1007 Solano Avenue, Vallejo, CA 94590 | 2018-02-16 |
| 1770007973 | Deborah A Johnson-white | Licensed Vocational Nurse | 908 Tuolumne, Vallejo, CA 94590 | 2017-07-29 |
| 1306378260 | Edgar Diaz | Counselor | 236 Georgia Street Suite 101, Vallejo, CA 94590 | 2017-03-30 |
| 1528440096 | Soren Perry | Counselor | 236 Georgia St., Vallejo, CA 94590 | 2015-06-22 |
| 1518366327 | Kimberly A Holland | Counselor | 631 Tennessee Street Suite 201, Vallejo, CA 94590 | 2014-08-18 |
| 1841605193 | Lawana Lofton | Psychologist | 88 Valle Vista Drive, Unit 6310, Vallejo, CA 94590 | 2014-06-25 |
| Find all providers in zip 94590 | ||||
| Taxonomy Code | 103TF0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Forensic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316979818 | Carlton W. Purviance | Psychologist | 1416 Tennessee St, Suite 3a, Vallejo, CA 94590-4647 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962049130 | Ashley Cohen | Psychologist | 320 Linda Dr, Hollister, CA 95023-6646 | 2019-12-05 |
| 1174185540 | Daisy Covarrubias | Psychologist | 9727 Diana Ave, Riverside, CA 92503-4281 | 2019-07-05 |
| 1538620786 | San Diego Forensic Psychology Corporation | Psychologist | 4640 Cass Street, # 90422, San Diego, CA 92109 | 2019-03-29 |
| 1982169587 | Jocelyn Roland | Psychologist | 2937 Veneman Ave Ste B125, Modesto, CA 95356-0690 | 2019-02-07 |
| 1265997936 | Shanda Angioli | Psychologist | 4640 Cass St # 90422, San Diego, CA 92109-2804 | 2019-02-06 |
| 1841755626 | Brianna Marie Alcantar | Psychologist | 855 E Laurel Dr Bldg H, Salinas, CA 93905-1300 | 2019-02-05 |
| 1316423692 | Millie Georganna Herrera | Psychologist | 4001 State Higheay 104, Ione, CA 95640 | 2018-07-19 |
| 1003308446 | Kiara Dixon | Psychologist | 15501 San Pablo Ave # G-317, Richmond, CA 94806-5848 | 2018-06-01 |
| 1700322633 | Lindsay Heber | Psychologist | 28204 Picadilly Pl, Castaic, CA 91384-3830 | 2017-01-17 |
| 1295193738 | Schuyler Weifu Liao | Psychologist | 2576 W San Ramon Ave, Fresno, CA 93711-2749 | 2016-01-28 |
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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.