1. Home
  2. Directory
  3. California
  4. Seal Beach
  5. Psychologist
  6. NPI Profile

SANDRA LEE SMITH PH.D.
NPI 1770684979
Psychologist - Clinical in Seal Beach, CA

Active since September 26, 2006PECOS EnrolledAccepts Medicare Assignment
909 ELECTRIC AVE, SUITE 212, SEAL BEACH, CA 90740(562) 596-5545(562) 596-0322 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sandra Lee Smith Ph.d. NPPES

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

SANDRA LEE SMITH PH.D. (NPI 1770684979) is an individual clinical provider in Seal Beach, California, licensed in California (PSY 11377) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Southern California Keck School Of Medicine (1985).

NPPES Registry Identity

NPI1770684979
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameSANDRA LEE SMITHCredential: PH.D.
Location Address909 ELECTRIC AVE, SUITE 212Seal Beach, CA 90740-6336
Mailing Address909 Electric Ave, Suite 212Seal Beach, CA 90740-6336 · (562) 596-5545 · Fax (562) 596-0322
Phone(562) 596-5545
Fax(562) 596-0322
Sole ProprietorYes
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 1985
Enumeration DateSeptember 26, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1770684979 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 · PSY 11377
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.
909 ELECTRIC AVE, Seal Beach, CA 90740
Open in Google Maps ↗

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

Sandra Lee 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 ID9537698410
PECOS Enrollment IDI20250122000583, I20250207000463
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90740 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
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Other Providers at the Same Location NPPES 3

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

DR. VICTORIA LYNN DUNCKLEY M.D.
Psychiatry & Neurology (Neurodevelopmental Disabilities)
909 ELECTRIC AVE, STE 302B
SEAL BEACH, CA 90740
Orange County (714) 926-4796
DR. NATALIE KING WILSON D.C.
Chiropractor
909 ELECTRIC AVE, #305
SEAL BEACH, CA 90740
Orange County (562) 665-1479
TAO SHA PHALEN MASTER OF ACUPUNCTUR
Acupuncturist
909 ELECTRIC AVE, #312
SEAL BEACH, CA 90740
Orange County (562) 598-3230

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 Sandra Smith's NPI number?

The NPI number for Sandra Smith is 1770684979. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Where is Sandra Smith located?

Sandra Smith practices at 909 Electric Ave Suite 212, Seal Beach, CA 90740. The listed phone number is (562) 596-5545.

What is Sandra Smith's specialty?

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

Is Sandra Smith enrolled in Medicare?

Yes. Sandra Smith is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Sandra Smith was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.