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

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: July 19, 2026.

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.

MARCUS D NEFF DDS
Dentist (General Practice)
1000 N 8TH AVE
POCATELLO, ID 83201
Bannock County (208) 232-3368
ZUZANA FLETCHER FNP
Nurse Practitioner (Family)
1000 N 8TH AVE
POCATELLO, ID 83201
Bannock County (208) 232-6260
DR. JACOB VAUGHN LILJENQUIST DMD
Dentist (General Practice)
1000 N 8TH AVE
POCATELLO, ID 83201
Bannock County (208) 232-3368
HEALTHWEST
Psychologist (Clinical)
1000 N 8TH AVE
POCATELLO, ID 83201
Bannock County (208) 232-6260
JENNIE BRUMFIELD PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1000 N 8TH AVE
POCATELLO, ID 83201
Bannock County (208) 232-6260
MS. DOTY JANENE COLLINS LCSW
Social Worker (Clinical)
1000 N 8TH AVE
POCATELLO, ID 83201
Bannock County (208) 232-6260
HEALTH WEST, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
1000 N 8TH AVE
POCATELLO, ID 83201
Bannock County (208) 232-3369
MICHAEL LLOYD LUDWIG LCSW-33464
Social Worker (Clinical)
1000 N 8TH AVE
POCATELLO, ID 83201
Bannock County (208) 232-6260

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 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.

Where is Kathleen Smith located?

Kathleen Smith practices at 1000 N 8th Ave, Pocatello, ID 83201. The listed phone number is (208) 232-6260.

What is Kathleen Smith's specialty?

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

When was this NPI record last updated?

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