DR. DOUGLAS KENT SMITH PH.D.
NPI 1376528703
Psychologist - Clinical in Santa Rosa, CA

Active since December 08, 2005PECOS EnrolledAccepts Medicare Assignment
700 CONEY CT, SANTA ROSA, CA 95409(949) 481-7755(949) 481-7744 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Douglas Kent Smith Ph.d. NPPES

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

DR. DOUGLAS KENT SMITH PH.D. (NPI 1376528703) is an individual clinical provider in Santa Rosa, California, licensed in California (PSY8353) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1982).

NPPES Registry Identity

NPI1376528703
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. DOUGLAS KENT SMITHCredential: PH.D.
Location Address700 CONEY CTSanta Rosa, CA 95409-6124
Mailing Address700 Coney CtSanta Rosa, CA 95409-6124 · (949) 481-7755 · Fax (805) 688-7712
Fax(949) 481-7744
Sole ProprietorYes
Medical School CMSOtherGraduated 1982
Enumeration DateDecember 8, 2005
Last NPPES UpdateApril 17, 2025
NPPES CertifiedApril 17, 2025
NPI 1376528703 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 CA · PSY8353
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.

700 CONEY CT, Santa Rosa, CA 95409

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. Douglas Kent Smith Ph.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 ID8729247333
PECOS Enrollment IDI20120316000258
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
565 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95409 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$187.01 typical visit price
range $63.04 – $187.01
Typical copayment $46.75 (range $15.76 – $46.75)
Most-billed visit code 99205
Established Patient
$109.88 typical visit price
range $21.02 – $153.40
Typical copayment $27.47 (range $5.25 – $38.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376528703, enumerated as an "individual" on December 08, 2005.

The provider is located at 700 CONEY CT SANTA ROSA, CA 95409 and the phone number is (949) 481-7755.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.