Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Nicole Smith, PSYD

Individual provider Clinical Psychologist · NPI 1689962706

Dr. Nicole Smith, PSYD is a Clinical Psychologist in San Leandro, California. Qualified in 2014, 12 years ago. Practices as a sole proprietor. Licensed in California.

Years since qualifying
12
Licensed in
CA
In the registry since
2011
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

777 Davis St
San Leandro, CA 94577-6923
Phone: (510) 626-2800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 31458 (CA)

Record details

NPI number1689962706
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorYes
NPI enumeratedJuly 11, 2011
Last updated in NPPESJune 19, 2026
Certification dateJune 19, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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