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

DR. WILBERT SMITH CLINICAL PSYCH
NPI 1619852522
Student in an Organized Health Care Education/Training Program in El Segundo, CA

Active since August 08, 2025
877 N DOUGLAS ST., PACIFIC PSYCHOLOGICAL ASS., EL SEGUNDO, CA 90242(310) 299-5910(310) 504-2249 Get Directions Write a Review

NPPES record last updated: August 8, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 8, 2026, Aug 8, 2025 (2 updates tracked since 2025).

About Dr. Wilbert Smith Clinical Psych NPPES

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

DR. WILBERT SMITH CLINICAL PSYCH (NPI 1619852522) is an individual student in an organized health care education/training program in El Segundo, California, licensed in California (PSB94028313) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1619852522
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. WILBERT SMITHCredential: CLINICAL PSYCH
Location Address877 N DOUGLAS ST., PACIFIC PSYCHOLOGICAL ASS.El Segundo, CA 90242
Mailing AddressPo Box 1776Los Angeles, CA 90001-0776 · (310) 299-5910 · Fax (310) 504-2249
Fax(310) 504-2249
Sole ProprietorYes
Enumeration DateAugust 8, 2025
Last NPPES UpdateAugust 8, 20262 updates tracked since enumeration
NPPES CertifiedAugust 8, 2026
NPI 1619852522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in CA · PSB94028313
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
877 N DOUGLAS ST., PACIFIC PSYCHOLOGICAL ASS., El Segundo, CA 90242

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 Wilbert Smith's NPI number?

The NPI number for Wilbert Smith is 1619852522. It was assigned to this individual provider in the NPPES registry on August 8, 2025.

Where is Wilbert Smith located?

Wilbert Smith practices at 877 N Douglas St., Pacific Psychological Ass., El Segundo, CA 90242. The listed phone number is (310) 299-5910.

What is Wilbert Smith's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Wilbert Smith was last updated on August 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.