NPIMap

Organization Active NPI

Smeg Family Mental Health

  • Psychiatric/Mental Health Registered Nurse
  • Winterville, NC
National Provider Identifier
1578986931
Registry record updated Jan 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
5003235 Issued in NC
Legal business name
SMEG FAMILY MENTAL HEALTH
Practice address
610A Old Tar Village Rd
Winterville, NC 28590-7936
Phone
(252) 364-8972
Fax
(252) 364-8971
NPI assigned
Jan 21, 2014
Last updated
Jan 21, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2014

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

Authorized official

Name
Mr. Richard Wilson Jr.
Title
Owner/Ceo
Phone
(252) 364-8972

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 5003235 NC Primary

Addresses

Primary practice location

610A Old Tar Village Rd
Winterville, NC 28590-7936

Mailing address

610A Old Tar Village Rd
Winterville, NC 28590-7936
Phone (252) 364-8972

Other identifiers 1

IdentifierTypeStateIssuer
6113048MedicaidNC

National Provider Directory

National Provider Directory

Locations

610A Old Tar Village Rd
Winterville, NC 28590
Phone (252) 364-8972

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1390262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390262400000",
    "number": "1578986931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610A OLD TAR VILLAGE RD",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "285907936",
            "telephone_number": "252-364-8972",
            "fax_number": "252-364-8971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610A OLD TAR VILLAGE RD",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "285907936",
            "telephone_number": "252-364-8972",
            "fax_number": "252-364-8971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMEG FAMILY MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-21",
        "last_updated": "2014-01-21",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "252-364-8972",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5003235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6113048",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winterville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; 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.