Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1285805846 Individual Practitioner Male Practitioner

Samuel Bardwell Smith

Psychologist - Clinical • Pacifica, CA

Professional Overview & Biography Verified Profile Summary

Samuel Smith is a registered healthcare professional specializing in Psychologist - Clinical in Pacifica, CA. Practice services are available at 1279 LINDA MAR SHOPPING CTR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1279 Linda Mar Shopping Ctr
Suite 112

Pacifica, CA 940443347

Telephone 6502284981

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Clinical in Pacifica, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 23.9 Yrs
Regional Practice Density
5 Specialists

Practicing in Pacifica, CA (13237 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist - Clinical Primary Specialty

NUCC Taxonomy Code: 103TC0700X

State License CA PSY 20860

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Winnisther-John Acosta , DDS

Dentist - General Practice

NPI 1700027885

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 21, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location March 21, 2008

Registered at 1279 LINDA MAR SHOPPING CTR, SUITE 112, PACIFICA, CA 940443347 (Tel: 6502284981)

📍
Updated Business Mailing Address March 21, 2008

Registered at 1279 LINDA MAR SHOPPING CTR, SUITE 112, PACIFICA, CA 940443347

👤
Provider Name / Credentials Updated March 21, 2008

Recorded as SAMUEL SMITH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 21, 2008

Psychologist (License #PSY 20860 in CA)

🟢
Initial NPI Registration & Enumeration March 21, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1285805846
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 21, 2008
Last Update: March 21, 2008
Sole Proprietor: Yes

Mailing Address

1279 Linda Mar Shopping Ctr, Suite 112

Pacifica, CA 940443347

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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