KATHLEEN RENE SMITH SE202993
NPI 1235689902
Psychologist - Clinical in Pocatello, ID

Q: What is Kathleen Smith's NPI number?

The NPI number for Kathleen Smith is 1235689902. It was assigned to this individual provider in the NPPES registry on October 6, 2016. The provider is also known as Kathleen Rene Schroeder Ma.

Q: What is Kathleen Smith's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Kathleen Smith was last updated on October 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 October 06, 2016

1000 N 8TH AVE, POCATELLO, ID 83201(208) 232-6260(208) 232-6259 Get Directions Write a Review

NPPES record last updated: October 6, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kathleen Rene Smith Se202993 NPPES

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

KATHLEEN RENE SMITH SE202993 (NPI 1235689902) is an individual clinical provider in Pocatello, Idaho, licensed in Idaho (SE202993) and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1235689902

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameKATHLEEN RENE SMITHCredential: SE202993

Location Address1000 N 8TH AVEPocatello, ID 83201-5757

Mailing Address500 S 11th Ave Ste 400Pocatello, ID 83201-4880 · (208) 232-7862 · Fax (208) 232-2408

Phone(208) 232-6260

Fax(208) 232-6259

Sole ProprietorNo

Enumeration DateOctober 6, 2016

✔ NPI 1235689902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in ID · SE202993

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1000 N 8TH AVE, Pocatello, ID 83201

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Other Names 1

Former Name (1)Kathleen Rene Schroeder Ma

Other Providers at the Same Location NPPES 16

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

HEALTH WEST, INC.

Clinic/Center (Federally Qualified Health Center (FQHC))