Dr Nicole Smith, PSYD - Medicare Psychologist in San Leandro, CA

Dr Nicole Smith, PSYD is a medicare enrolled "Psychologist - Clinical" provider in San Leandro, California. She graduated from medical school in 2014 and has 12 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is 777 Davis St, San Leandro, California. You can reach out to her office (for appointments etc.) via phone at (510) 626-2800.

Dr Nicole Smith is licensed to practice in California (license number 31458) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1689962706.

Contact Information

Dr Nicole Smith, PSYD
777 Davis St,
San Leandro, CA 94577-6923
(510) 626-2800
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Nicole Smith
GenderFemale
SpecialityClinical Psychologist
Experience12 Years
Location777 Davis St, San Leandro, California
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Nicole Smith graduated from medical school in 2014
  NPI Data:
  • NPI Number: 1689962706
  • Provider Enumeration Date: 07/11/2011
  • Last Update Date: 06/19/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 4183195712
  • Enrollment ID: I20260604003171

Medical Identifiers

Medical identifiers for Dr Nicole Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689962706NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 31458 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Nicole Smith is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Nicole Smith, PSYD
777 Davis St,
San Leandro, CA 94577-6923

Ph: (510) 626-2800
Dr Nicole Smith, PSYD
777 Davis St,
San Leandro, CA 94577-6923

Ph: (510) 626-2800

Reviews and Comments


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