DR. MARDI MICHELE SMITH PH.D.
NPI 1154601862
Psychologist in San Diego, CA

Active since August 25, 2011PECOS Enrolled
4546 KENSINGTON DR, SAN DIEGO, CA 92116(619) 994-8627 Get Directions Write a Review

NPPES record last updated: April 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mardi Michele Smith Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARDI MICHELE SMITH PH.D. (NPI 1154601862) is an individual psychologist in San Diego, California, licensed in Tennessee (2990) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154601862
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. MARDI MICHELE SMITHCredential: PH.D.
Location Address4546 KENSINGTON DRSan Diego, CA 92116-3834
Mailing Address543 Javelin CvCordova, TN 38018-7674
Sole ProprietorYes
Enumeration DateAugust 25, 2011
Last NPPES UpdateApril 4, 2024
NPPES CertifiedApril 4, 2024
NPI 1154601862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in TN · 2990
Definition
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.
Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License 28408 (CA)
4546 KENSINGTON DR, San Diego, CA 92116

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Mardi Michele Smith Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
4546 KENSINGTON DR
SAN DIEGO, CA 92116

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mardi Smith's NPI number?

The NPI number for Mardi Smith is 1154601862. It was assigned to this individual provider in the NPPES registry on August 25, 2011.

Where is Mardi Smith located?

Mardi Smith practices at 4546 Kensington Dr, San Diego, CA 92116. The listed phone number is (619) 994-8627.

What is Mardi Smith's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Mardi Smith enrolled in Medicare?

Yes. Mardi Smith is registered in the Medicare PECOS enrollment system.

What insurance does Mardi Smith accept?

Health plans from Oscar Insurance Company and UnitedHealthcare list Mardi Smith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mardi Smith was last updated on April 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.