KELSEY SMITH
NPI 1790336857
Psychologist in Anaheim, CA

Active since September 20, 2019PECOS EnrolledAccepts Medicare Assignment
505 N EUCLID ST STE 300, ANAHEIM, CA 92801(714) 871-5646 Get Directions Write a Review

NPPES record last updated: August 30, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 30, 2022, Sep 20, 2019 (2 updates tracked since 2019).

About Kelsey Smith NPPES

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

KELSEY SMITH (NPI 1790336857) is an individual psychologist in Anaheim, California and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1790336857
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameKELSEY SMITH
Location Address505 N EUCLID ST STE 300Anaheim, CA 92801-5514
Mailing Address505 N Euclid St Ste 300Anaheim, CA 92801-5514 · (714) 871-5646
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 20, 2019
Last NPPES UpdateAugust 30, 20222 updates tracked since enumeration
NPPES CertifiedAugust 30, 2022
NPI 1790336857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
505 N EUCLID ST STE 300, Anaheim, CA 92801

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

Kelsey Smith 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 ID8628516770
PECOS Enrollment IDI20240820002707
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.

Other Providers at the Same Location NPPES 20

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

Social Worker
505 N EUCLID ST STE 300
ANAHEIM, CA 92801
Marriage & Family Therapist
505 N EUCLID ST STE 300
ANAHEIM, CA 92801
Counselor
505 N EUCLID ST STE 300
ANAHEIM, CA 92801
Counselor (Mental Health)
505 N EUCLID ST STE 300
ANAHEIM, CA 92801
Social Worker (Clinical)
505 N EUCLID ST STE 300
ANAHEIM, CA 92801
Marriage & Family Therapist
505 N EUCLID ST STE 300
ANAHEIM, CA 92801
Student in an Organized Health Care Education/Training Program
505 N EUCLID ST STE 300
ANAHEIM, CA 92801
Marriage & Family Therapist
505 N EUCLID ST STE 300
ANAHEIM, CA 92801

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 Kelsey Smith's NPI number?

The NPI number for Kelsey Smith is 1790336857. It was assigned to this individual provider in the NPPES registry on September 20, 2019.

Where is Kelsey Smith located?

Kelsey Smith practices at 505 N Euclid St Ste 300, Anaheim, CA 92801. The listed phone number is (714) 871-5646.

What is Kelsey Smith's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Kelsey Smith enrolled in Medicare?

Yes. Kelsey 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 Kelsey Smith was last updated on August 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.