DR. SHELBY KAROLINE SMITH PSY.D.
NPI 1225581804
Psychologist - Addiction (Substance Use Disorder) in Walnut Creek, CA

Q: What is Shelby Smith's NPI number?

The NPI number for Shelby Smith is 1225581804. It was assigned to this individual provider in the NPPES registry on July 29, 2016.

Q: What is Shelby Smith's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Addiction (Substance Use Disorder), with taxonomy code 103TA0400X.

Q: When was this NPI record last updated?

The NPPES record for Shelby Smith was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since July 29, 2016PECOS EnrolledAccepts Medicare Assignment

710 S BROADWAY STE 300, WALNUT CREEK, CA 94596(925) 295-2960 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Shelby Karoline Smith Psy.d. NPPES

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

DR. SHELBY KAROLINE SMITH PSY.D. (NPI 1225581804) is an individual addiction (substance use disorder) provider in Walnut Creek, California, licensed in California (27912) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1225581804

Entity TypeIndividualFemale

Primary Taxonomy103TA0400X

Provider Legal NameDR. SHELBY KAROLINE SMITHCredential: PSY.D.

Location Address710 S BROADWAY STE 300Walnut Creek, CA 94596-5229

Mailing Address710 S Broadway Ste 300Walnut Creek, CA 94596-5229 · (925) 295-2960

Phone(925) 295-2960

Sole ProprietorYes

Medical School CMSOtherGraduated 2014

Enumeration DateJuly 29, 2016

Last NPPES UpdateFebruary 11, 2022

✔ NPI 1225581804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code103TA0400X

License✔ Licensed in CA · 27912

Definition

A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.

710 S BROADWAY STE 300, Walnut Creek, CA 94596

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Shelby Karoline Smith Psy.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779871702

PECOS Enrollment IDI20161006002355

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 10

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

MR. MATTHEW TERRY HAYNES

Social Worker (Clinical)

710 S BROADWAY STE 300
WALNUT CREEK, CA 94596

Contra Costa County (925) 295-3980

JAMIE ASHLEY WILLIAMS LCSW

Social Worker (Clinical)

710 S BROADWAY STE 300
WALNUT CREEK, CA 94596

Contra Costa County (925) 295-4145

MR. STEWART PROCTOR PH.D.

Psychologist (Clinical)

710 S BROADWAY STE 300
WALNUT CREEK, CA 94596

Contra Costa County (925) 295-5937

MR. JASON ALLEN SPENSER LCSW

Social Worker (Clinical)

710 S BROADWAY STE 300
WALNUT CREEK, CA 94596

Contra Costa County (925) 295-4145

MEREDITH PORTER PSYD

Psychologist

710 S BROADWAY STE 300
WALNUT CREEK, CA 94596

Contra Costa County (252) 954-6199

DR. KELLY M BUSH PSY.D.

Psychologist

710 S BROADWAY STE 300, DEPT OF MENTAL HEALTH
WALNUT CREEK, CA 94596

Contra Costa County (925) 295-4145

MRS. ANNE RACHEL SERRANO GUIJO N.P.

Nurse Practitioner (Family)

710 S BROADWAY STE 300
WALNUT CREEK, CA 94596

Contra Costa County (925) 295-6783

CATHERINE FAN DIONISIO PH.D.

Psychologist (Clinical)

710 S BROADWAY STE 300
WALNUT CREEK, CA 94596

Contra Costa County (925) 295-4145

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 Shelby Smith's NPI number?

The NPI number for Shelby Smith is 1225581804. It was assigned to this individual provider in the NPPES registry on July 29, 2016.

Where is Shelby Smith located?

Shelby Smith practices at 710 S Broadway Ste 300, Walnut Creek, CA 94596. The listed phone number is (925) 295-2960.

What is Shelby Smith's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Addiction (Substance Use Disorder), with taxonomy code 103TA0400X.

Is Shelby Smith enrolled in Medicare?

Yes. Shelby Smith is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Shelby Smith was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.