P Praxis·MD
● Active Type 1 · Individual

Kathleen Rene Smith, SE202993

Psychologist·Pocatello, ID· NPI 1235689902 · Enumerated 2016 · 9 years on NPI
Smith is 1 of 19 psychologist providers in Pocatello and 1 of 235 in Idaho.
NPI age
9 years
Enumerated 2016-10-06
Primary specialty
Psychologist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2016-10-06
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 235 active psychologist providers in Idaho.

NPI age
9 years
↓ 8 yr below median (17 yr)
State licenses
1 state
17% of peers hold multiple states
Subspecialties
0
30% of peers hold subspecialties

NPI lifetime · 2016 → 2026

2016-10Enumerated in NPPES
2016 2026

Where they practice

Practice location
1000 N 8th Ave
Pocatello, ID 832015757
📞 2082326260fax 2082326259
Mailing address
500 S 11th Ave Ste 400
Pocatello, ID 832014880
📞 2082327862fax 2082322408

Specialties

  • Psychologist Primary
    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...
    ID license #SE202993 taxonomy 103TC0700X

Practice context

Part of a multi-provider practice. 15 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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