DR. PETER J. SMITH (NPI# 1306875612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306875612 |
| Entity Type | Individual |
| Full Name | DR. PETER J. SMITH |
| Credential | ED.D. |
| Practice Address |
100 Westgreen Dr Suite 201 Chapel Hill NC 27516-4417 |
| Practice Telephone | 9199336500 |
| Practice Fax Number | 9199330334 |
| Mailing Telephone | 9199336500 |
| Mailing Fax Number | 9199330334 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2019-02-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
2105 | NC | Behavioral Health & Social Service Providers |
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
2105 | NC | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
2105 | NC | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
2105 | NC | Behavioral Health & Social Service Providers |
| N | 103TF0000X |
Psychologist Specialization: Family |
2105 | NC | Behavioral Health & Social Service Providers |
| N | 103TH0100X |
Psychologist Specialization: Health Service |
2105 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS OF NC | 0407P | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649878232 | Peter Thomas Curry Smith | In Home Supportive Care | 18679 Baker Rd, Mount Vernon, OH 43050-9586 | 2020-10-15 |
| 1386116663 | Peter Smith | Physical Therapist | 1450 E Fairview Ave Ste 201, Meridian, ID 83642-1819 | 2018-12-26 |
| 1407360258 | Peter Smith | Specialist/Technologist | 415 Center St, Bridgewater, MA 02324-1309 | 2017-11-30 |
| 1851784839 | Peter Allen Smith | Counselor | 2240 N Hwy 89, Suite C, Harrisville, UT 84404-2675 | 2015-03-14 |
| 1356782072 | Peter Michael Smith | Physician Assistant | 282 Cabrini Blvd, Apt. 2g, New York, NY 10040-3618 | 2013-07-10 |
| 1861837700 | Peter Smith | Physical Therapist | 1121 Fairfield Ave, Eugene, OR 97402-2026 | 2013-05-06 |
| 1508136706 | Peter J. Smith | Marriage & Family Therapist | 332 Redwood Ave, Willits, CA 95490-3333 | 2012-01-04 |
| 1568695344 | Peter John Smith I | Physical Therapist | 167 Fairharbor Dr, Patchogue, NY 11772-3335 | 2009-08-27 |
| 1710152962 | Peter J Smith | Physician Assistant | 5715 Kittery Dr, Siute B, Colorado Springs, CO 80911-3552 | 2008-04-29 |
| 1285849778 | Peter Jordan Smith | Acupuncturist | 826 Shattuck Ave, Berkeley, CA 94707-2020 | 2007-05-10 |
| Street Address |
100 WESTGREEN DR SUITE 201 |
| City | CHAPEL HILL |
| State | NC |
| Zip Code | 27516-4417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144256637 | Valerie K Sawyer-smith | Psychologist | 100 Westgreen Dr, Suite 202, Chapel Hill, NC 27516-4417 | 2006-06-25 |
| 1194859512 | Colleen Paige Trimble | Psychologist | 100 Westgreen Dr, Suite 205, Chapel Hill, NC 27516-4417 | 2007-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417599309 | Brandon Ali Koroni | Dentist | 385 S Columbia St., Chapel Hill, NC 27516 | 2019-10-11 |
| 1225512718 | Brian Pietrosimone | Specialist/Technologist | University of North Carolina 209 Fetzer Hall, Chapel Hill, NC 27516 | 2018-09-20 |
| 1639691553 | Alexander S. Arab, Dba, Ims Evals, LLC | Physical Therapist | 103 Springhill Forest Place, Chapel Hill, NC 27516 | 2017-07-12 |
| 1730618000 | William E Sanders | Physical Therapist | 205 Weyer Dr., Chapel Hill, NC 27516 | 2017-06-08 |
| 1700336955 | Chatham Pediatric Dentistry | Dentist | 79 Falling Springs Dr., Suite 120, Chapel Hill, NC 27516 | 2016-10-12 |
| 1295152601 | Chun Xiang Li | Nurse Practitioner | 128 North Fields Circle, Chapel Hill, NC 27516 | 2014-03-24 |
| 1518211705 | Abigail Debra Zeveloff | Counselor | 1209b Hillsborough Rd, Chapel Hill, NC 27516 | 2012-11-09 |
| 1124315411 | Eric James Arehart | Pediatrics | 103 Crofton Springs Pl, Chapel Hill, NC 27516 | 2011-07-07 |
| 1336440312 | Amy Lynn Ford | Physician Assistant | 101 Manning Drive Cb #7160, Chapel Hill, NC 27516 | 2010-11-08 |
| 1689807224 | Natasha Leigh Blazer | Counselor | 110 New Stateside Dr, Chapel Hill, NC 27516 | 2009-08-31 |
| Find all providers in zip 27516 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750921326 | Anna Lock | Psychologist | 320 Emergency Room Drive #7470, Chapel Hill, NC 27599-0001 | 2020-01-13 |
| 1811438179 | Dimitri Putilin | Psychologist | 311 Colony Woods Dr, Chapel Hill, NC 27517-7904 | 2017-03-19 |
| 1851839229 | Ashly Louise Gaskin | Psychologist | 421 Meadowmont Village Cir, Suite 421, Chapel Hill, NC 27517-7506 | 2017-02-06 |
| 1376093849 | Kena Lee Watson | Psychologist | 318 Cloister Ct, Chapel Hill, NC 27514 | 2016-10-09 |
| 1427417211 | Camden Matherne | Psychologist | Unc Department of Psychiatry, Cb #7160, Chapel Hill, NC 27599-0001 | 2016-02-22 |
| 1033583034 | Tausha Watson | Psychologist | 880 Martin Luther King Jr Blvd Ste 102, Chapel Hill, NC 27514 | 2015-11-15 |
| 1265801757 | Jill R Grant | Psychologist | 105 Jones Creek Pl, Chapel Hill, NC 27516-4357 | 2015-09-15 |
| 1497134720 | Samantha Pflum | Psychologist | 101 Manning Drive Medical School Wing C, Chapel Hill, NC 27599-2401 | 2015-05-19 |
| 1114334984 | Jessica Shillito Wilson | Psychologist | 1545 Ferrell Rd, Chapel Hill, NC 27517-2317 | 2014-07-14 |
| 1265772164 | Jessica Baker | Psychologist | 101 Manning Drive Cb 7160, University of North Carolina Department of Psychiatry, Chapel Hill, NC 27713 | 2013-03-01 |
| Find all providers in CHAPEL HILL | ||||
| City | CHAPEL HILL |
| Zip Code | 27516 |
Please comment or provide details below to improve the information on DR. PETER J. SMITH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.