Organization Active NPI

Darryl F. Smith, PHD, PLLC

  • Clinical Psychologist
  • Chapel Hill, NC
National Provider Identifier
1013969237
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1726 Issued in NC
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

Updated by the provider on Jul 7, 2022

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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
6000349MedicaidNC

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.