Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

EDWARD ALBERT SMITH
NPI 1366166738
Psychologist - Clinical in San Diego, CA

Q: What is Edward Smith's NPI number?

The NPI number for Edward Smith is 1366166738. It was assigned to this individual provider in the NPPES registry on September 29, 2022.

Q: What is Edward 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 Edward Smith was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days 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 September 29, 2022

34800 BOB WILSON DR, SAN DIEGO, CA 92134(619) 532-7475 Get Directions Write a Review

NPPES record last updated: August 18, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Aug 18, 2026, Sep 29, 2022 (2 updates tracked since 2022).

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About Edward Albert Smith NPPES

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

EDWARD ALBERT SMITH (NPI 1366166738) is an individual clinical provider in San Diego, California, licensed in Virginia (0810008377) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1366166738

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameEDWARD ALBERT SMITH

Location Address34800 BOB WILSON DRSan Diego, CA 92134-1098

Mailing Address229 Mocha Coconut AveNorth Las Vegas, NV 89084-1477 · (516) 474-5696

Phone(619) 532-7475

Sole ProprietorNo

Enumeration DateSeptember 29, 2022

Last NPPES UpdateAugust 18, 20262 updates tracked since enumeration

NPPES CertifiedAugust 18, 2026

✔ NPI 1366166738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in VA · 0810008377

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.

Also ListedPsychologist · Health ServiceTaxonomy 103TH0100X · License 0810008377 (VA)

Also ListedPsychologist · Group PsychotherapyTaxonomy 103TP2701X · License 0810008377 (VA)

34800 BOB WILSON DR, San Diego, CA 92134

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Other Providers at the Same Location NPPES 20

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