Active NPI
Sarah Elizabeth Smead, ED.S., LPA
- Psychologist
- Charlotte, NC
National Provider Identifier
1508175142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 4899
- Practice address
- 360 N Caswell Rd
Charlotte, NC 28204-2442 - Phone
- (704) 765-2549
- NPI assigned
- Sep 30, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 4190736 | AZ | |
| Psychologist | 103T00000X | 4899 | NC | Primary |
Addresses
Primary practice location
360 N Caswell Rd
Charlotte, NC 28204-2442
Mailing address
415 Annaberg LN
Monroe, NC 28110-8655
Phone (859) 539-1648
Other names 1
- Sarah Elizabeth Johnson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4190736 | AZ | MD | School Psychologist |
| 4899 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| STS Psychology & Consulting | Psychologist | Current | Accepting new patients |
| University of North Carolina at Chapel Hill | Past | Accepting new patients | |
| University of North Carolina at Chapel Hill-Teacch Autism Program | Past | Accepting new patients |
Locations
360 N Caswell Rd
Charlotte, NC 28204
Phone (704) 375-0033
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychologist
- Charlotte, NC
- NPI 1235094129
-
- Anesthesiology Physician
- Chapel Hill, NC
- NPI 1780669200
-
- Developmentally Disabled Services Day Training Agency
- Charlotte, NC
- NPI 1932549482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692921600000",
"number": "1508175142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 ANNABERG LN",
"city": "MONROE",
"state": "NC",
"postal_code": "281108655",
"telephone_number": "859-539-1648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 N CASWELL RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282042442",
"telephone_number": "704-765-2549"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMEAD",
"first_name": "SARAH",
"middle_name": "ELIZABETH",
"credential": "ED.S., LPA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-30",
"last_updated": "2023-08-25",
"certification_date": "2023-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "AZ",
"license": "4190736",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "4899",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SARAH",
"last_name": "JOHNSON",
"middle_name": "ELIZABETH",
"credential": "EDS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.