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ALEXIS SMITH PSYD CLINICAL PS INC
NPI 1164920278
Clinic/Center - Mental Health (Including Community Mental Health Center) in Walnut Creek, CA

Active since January 24, 2018
1855 SAN MIGUEL DR STE 23, WALNUT CREEK, CA 94596(925) 324-1593 Get Directions Write a Review

NPPES record last updated: August 29, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 24, 2024, Apr 26, 2018 (2 updates tracked since 2018).

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About ALEXIS SMITH PSYD CLINICAL PS INC

This page provides the complete NPI Profile along with additional information for Alexis Smith Psyd Clinical Ps Inc, a provider established in Walnut Creek, California operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1164920278 assigned on January 2018. The practitioner's primary taxonomy code is 261QM0801X with license number 28050 (CA). The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Alexis Smith Psyd (Ceo)

NPI
1164920278 Verify this NPI
Provider Name
ALEXIS SMITH PSYD CLINICAL PS INC
Entity Type
Organization
Location Address
1855 SAN MIGUEL DR STE 23 WALNUT CREEK, CA 94596
Location Phone
(925) 324-1593
Mailing Address
1855 SAN MIGUEL DR STE 23 WALNUT CREEK, CA 94596
Mailing Phone
(925) 324-1593
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-24-2018
Last Update Date
08-29-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities
License No.
28050
License State
CA

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ALEXIS SMITH PSYD

Authorized Official Title
CEO
Authorized Official Phone
(925) 324-1593

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Frequently Asked Questions

What is ALEXIS SMITH PSYD CLINICAL PS INC's NPI number?

The NPI number assigned to this healthcare provider is 1164920278, enumerated as an "organization" on January 24, 2018.

Where is the provider located?

The provider is located at 1855 SAN MIGUEL DR STE 23 WALNUT CREEK, CA 94596 and the phone number is (925) 324-1593.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).