Individual provider Active NPI

Valerie K Sawyer-Smith, EDD

  • Clinical Psychologist
  • Chapel Hill, NC
National Provider Identifier
1144256637
Registry record updated Jan 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2102 Issued in NC
Practice address
100 Westgreen Dr
Suite 202
Chapel Hill, NC 27516-4417
Phone
(919) 929-2800
NPI assigned
Jun 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2021

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Group Psychotherapy Psychologist 103TP2701X 2102 NC
Clinical Psychologist 103TC0700X 2102 NC Primary
Family Psychologist 103TF0000X 2102 NC
Clinical Child & Adolescent Psychologist 103TC2200X 2102 NC
Adult Development & Aging Psychologist 103TA0700X 2102 NC
Cognitive & Behavioral Psychologist 103TB0200X 2102 NC

Addresses

Primary practice location

100 Westgreen Dr
Suite 202
Chapel Hill, NC 27516-4417

Mailing address

100 Westgreen Dr Ste 202
Chapel Hill, NC 27516-4417
Phone (919) 929-2800

Other identifiers 1

IdentifierTypeStateIssuer
0407VOtherNCBCBS OF NC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101011000793 NC Practitioner - Clinical Psychologist 0941492847 Practice locations: Chapel Hill, NC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 Westgreen Dr
Suite 202
Chapel Hill, NC 27516-4417
Phone (919) 929-2800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2102NCMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610841600000",
    "number": "1144256637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WESTGREEN DR STE 202",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275164417",
            "telephone_number": "919-929-2800",
            "fax_number": "919-933-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WESTGREEN DR",
            "address_2": "SUITE 202",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275164417",
            "telephone_number": "919-929-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAWYER-SMITH",
        "first_name": "VALERIE",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "EDD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-25",
        "last_updated": "2021-01-17",
        "certification_date": "2021-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "NC",
            "license": "2102",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "2102",
            "primary": true
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "NC",
            "license": "2102",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NC",
            "license": "2102",
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "NC",
            "license": "2102",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NC",
            "license": "2102",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "0407V",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.