Connie Smith Philbeck, L.P.A.

Primary specialty

Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X

License

1426 Issued in NC

Practice address

1000 N 1St St
Albemarle, NC 28001-2833

Phone

(704) 983-2117

NPI assigned

Aug 7, 2006

Last updated

Nov 2, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193961600000",
    "number": "1518976430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 S CANNON BLVD",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280836232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N 1ST ST",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280012833",
            "telephone_number": "704-983-2117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILBECK",
        "first_name": "CONNIE",
        "middle_name": "SMITH",
        "credential": "L.P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2007-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "1426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6107204",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shalyn Perez-Parris
• Manjula Rani Petchetti, MD
• Billie Beard Peterson
• Krista Peterson, MA, LCMHCA
• Santina A Pfleeger, MA-LPA, HSP-PA
• Sean Pickler, PHARMD
• Jeremy Pierson
• Pradeep Diwaker Pilakel, PT,MS,MCSP,DIPTP
• Pilakel's Rehab Services, Inc.
• Kelli Annette Pinion, LCMHCA

• Addiction (Substance Use Disorder) Psychologist in Albemarle, NC
• Providers in Albemarle, NC by specialty
• Addiction (Substance Use Disorder) Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.