DR. RANDALL B. SMITH PH.D.
NPI 1922110253
Clinical Neuropsychologist in San Francisco, CA

Q: What is Randall Smith's NPI number?

The NPI number for Randall Smith is 1922110253. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Q: What is Randall Smith's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Q: Is Randall Smith enrolled in Medicare?

No. Randall Smith has opted out of Medicare through April 2, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Randall Smith was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 August 31, 2006Opted out of Medicare · through Apr 2, 2027

1375 SUTTER ST STE 304, SAN FRANCISCO, CA 94109(415) 563-3190(415) 563-2789 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Randall B. Smith Ph.d. NPPES

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

DR. RANDALL B. SMITH PH.D. (NPI 1922110253) is an individual clinical neuropsychologist in San Francisco, California, licensed in California (PSY 5827) and active in the NPI registry since August 2006. He has opted out of Medicare through April 2, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1922110253

Entity TypeIndividualMale

Primary Taxonomy103G00000X

Provider Legal NameDR. RANDALL B. SMITHCredential: PH.D.

Location Address1375 SUTTER ST STE 304San Francisco, CA 94109-5466

Mailing Address1375 Sutter St Ste 304San Francisco, CA 94109-5466 · (415) 563-3190 · Fax (415) 563-2789

Phone(415) 563-3190

Fax(415) 563-2789

Sole ProprietorYes

Enumeration DateAugust 31, 2006

Last NPPES UpdateSeptember 11, 2025

✔ NPI 1922110253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in CA · PSY 5827

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PSY 5827 (CA)

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Randall B. Smith Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 2, 2019 through April 2, 2027.

Opt-Out Effective DateApril 2, 2019

Opt-Out In Effect ThroughApril 2, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 2

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

DR. JEFFREY LEE SANDLER M.D.

Psychiatry & Neurology (Psychiatry)

1375 SUTTER ST STE 304
SAN FRANCISCO, CA 94109

San Francisco County (415) 563-5490

JOAN SCHRETLEN M.S.W.

Social Worker (Clinical)

1375 SUTTER ST STE 304
SAN FRANCISCO, CA 94109

San Francisco County (415) 346-7574

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 Randall Smith's NPI number?

The NPI number for Randall Smith is 1922110253. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Randall Smith located?

Randall Smith practices at 1375 Sutter St Ste 304, San Francisco, CA 94109. The listed phone number is (415) 563-3190.

What is Randall Smith's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Randall Smith enrolled in Medicare?

No. Randall Smith has opted out of Medicare through April 2, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Randall Smith was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.