Peter Smith PSYD LLC

Primary specialty

Prescribing (Medical) PsychologistTaxonomy code 103TP0016X

Legal business name

PETER SMITH PSYD LLC

Practice address

101 Livingston Loop Ste 1
Santa Teresa, NM 88008-9753

Phone

(505) 506-2546

Fax

(575) 201-7070

NPI assigned

Feb 7, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Claudia Naranjo

Title

Authorized Agent

Phone

(915) 256-9028

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter Norman Smith, PSYD

  • Prescribing (Medical) Psychologist
  • Santa Teresa, NM
  • NPI 1508061169
  Medicare reassignment NPD
• Adan Segura

  • Marriage & Family Therapist
  • Santa Teresa, NM
  • NPI 1497528988
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1675728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679529600000",
    "number": "1073210316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 BEACH ST",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041061607",
            "telephone_number": "520-271-9673",
            "fax_number": "575-201-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 LIVINGSTON LOOP STE 1",
            "city": "SANTA TERESA",
            "state": "NM",
            "postal_code": "880089753",
            "telephone_number": "505-506-2546",
            "fax_number": "575-201-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER SMITH PSYD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-07",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A",
        "authorized_official_last_name": "NARANJO",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_title_or_position": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "915-256-9028"
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "22639560",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mariana Perez
• Melissa Perez
• Teresa Perez
• Tlalli Raquel Perez
• Peter Sangra MD LLC
• Pharmerica Long-Term Care LLC
• Jesus Pina
• Susanne Pinon
• Deebee Plesant
• Melissa Plyler

• Prescribing (Medical) Psychologist in Santa Teresa, NM
• Providers in Santa Teresa, NM by specialty
• Prescribing (Medical) Psychologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.