CLYDE R SMITH BS, MSN, RN, PMHNP
NPI 1790342830
Nurse Practitioner - Psychiatric/Mental Health in Folsom, CA

Q: What is Clyde Smith's NPI number?

The NPI number for Clyde Smith is 1790342830. It was assigned to this individual provider in the NPPES registry on May 23, 2019.

Q: What is Clyde Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Clyde Smith was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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 May 23, 2019

2600 E BIDWELL ST STE 220, FOLSOM, CA 95630(747) 200-0022 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 8, 2025, Jun 5, 2019, May 23, 2019 (3 updates tracked since 2019).

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About Clyde R Smith Bs, Msn, Rn, Pmhnp NPPES

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

CLYDE R SMITH BS, MSN, RN, PMHNP (NPI 1790342830) is an individual psychiatric/mental health provider in Folsom, California, licensed in California (95033072) and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1790342830

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameCLYDE R SMITHCredential: BS, MSN, RN, PMHNP

Location Address2600 E BIDWELL ST STE 220Folsom, CA 95630-6452

Mailing Address2600 E Bidwell St Ste 220Folsom, CA 95630-6452 · (747) 200-0022

Phone(747) 200-0022

Sole ProprietorNo

Enumeration DateMay 23, 2019

Last NPPES UpdateApril 8, 20253 updates tracked since enumeration

NPPES CertifiedApril 8, 2025

✔ NPI 1790342830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CA · 95033072

Also ListedRegistered NurseTaxonomy 163W00000X · License 95183506 (CA)

2600 E BIDWELL ST STE 220, Folsom, CA 95630

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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 Clyde Smith's NPI number?

The NPI number for Clyde Smith is 1790342830. It was assigned to this individual provider in the NPPES registry on May 23, 2019.

Where is Clyde Smith located?

Clyde Smith practices at 2600 E Bidwell St Ste 220, Folsom, CA 95630. The listed phone number is (747) 200-0022.

What is Clyde Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Clyde Smith was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.