Active NPI
Darryl F. Smith, PHD, PLLC
- Clinical Psychologist
- Chapel Hill, NC
National Provider Identifier
1013969237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1726
- Legal business name
- DARRYL F. SMITH, PHD, PLLC
- Practice address
- 111 Cloister CT
Suite 100
Chapel Hill, NC 27514-2295 - Phone
- (919) 402-4300
- Fax
- (919) 420-4330
- NPI assigned
- May 16, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Darryl Frederick Smith, PH.D.
- Title
- President
- Phone
- (919) 358-3477
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1726 | NC | Primary |
Addresses
Primary practice location
111 Cloister CT
Suite 100
Chapel Hill, NC 27514-2295
Mailing address
245 Seminole Dr
Chapel Hill, NC 27514-1920
Phone (919) 402-4300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6000349 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
111 Cloister Ct
Ste 114
Chapel Hill, NC 27514
Phone (919) 402-4300
4201 Lake Boone Trl
Ste 101
Raleigh, NC 27607
Phone (919) 402-4300
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychologist
- Chapel Hill, NC
- NPI 1801966346
-
- Clinical Psychologist
- Chapel Hill, NC
- NPI 1285656405
-
- Clinical Social Worker
- Chapel Hill, NC
- NPI 1790828994
-
- Clinical Social Worker
- Chapel Hill, NC
- NPI 1588987168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1657152000000",
"number": "1013969237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 SEMINOLE DR",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275141920",
"telephone_number": "919-402-4300",
"fax_number": "919-402-4330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 CLOISTER CT",
"address_2": "SUITE 100",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275142295",
"telephone_number": "919-402-4300",
"fax_number": "919-420-4330"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DARRYL F. SMITH, PHD, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-16",
"last_updated": "2022-07-07",
"certification_date": "2022-07-07",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "DARRYL",
"authorized_official_middle_name": "FREDERICK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "919-358-3477",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "1726",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6000349",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.