Individual provider Active NPI

Kevin Metz, PSYD

  • Psychologist
  • Chapel Hill, NC
National Provider Identifier
1306033311
Registry record updated Mar 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
102 Market St Ste 102
Chapel Hill, NC 27516
Phone
(919) 360-3602
NPI assigned
Oct 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

102 Market St Ste 102
Chapel Hill, NC 27516

Mailing address

1403 Meadow LN
Chapel Hill, NC 27516-7829
Phone (919) 360-3602

Other practice location 1

607 Waller St
San Francisco, CA 94117-3320
Phone (919) 360-3602

Other practice location 2

607 Waller St
San Francisco, CA 94117-3320
Phone (919) 360-3602

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Dec 20, 2018 through Dec 20, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4440NCMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553040000000",
    "number": "1306033311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 MEADOW LN",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275167829",
            "telephone_number": "919-360-3602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 MARKET ST STE 102",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "27516",
            "telephone_number": "919-360-3602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "607 Waller St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941173320",
            "country_code": "US",
            "telephone_number": "919-360-3602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "607 Waller St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941173320",
            "country_code": "US",
            "telephone_number": "919-360-3602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "METZ",
        "first_name": "KEVIN",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-03",
        "last_updated": "2019-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.