Active NPI
Kevin Metz, PSYD
- Psychologist
- Chapel Hill, NC
National Provider Identifier
1306033311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4440 | NC | MD | Speech-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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.