Smith Psychological Services, P.C.

Primary specialty

Health Service PsychologistTaxonomy code 103TH0100X

License

3503 Issued in NC

Legal business name

SMITH PSYCHOLOGICAL SERVICES, P.C.

Practice address

1107 Seven Lakes Drive
Seven Lakes, NC 27376-0000

Phone

(910) 778-2427

Fax

(910) 673-5775

NPI assigned

Feb 23, 2009

Last updated

Feb 23, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Carol Yvonne Smith, PHD, PHDNPI 1326044546

Title

Director/Chief Psychologist

Phone

(910) 778-2427

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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.

• Carol Yvonne Smith, PHD, PHD, MS, LICSW,

  • Clinical Psychologist
  • Seven Lakes, NC
  • NPI 1326044546
  Authorized official Same address or phone

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

{
    "created_epoch": "1235347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235347200000",
    "number": "1720228372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4",
            "city": "JACKSON SPRINGS",
            "state": "NC",
            "postal_code": "272810004",
            "telephone_number": "910-778-2427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 SEVEN LAKES DRIVE",
            "city": "SEVEN LAKES",
            "state": "NC",
            "postal_code": "273760000",
            "telephone_number": "910-778-2427",
            "fax_number": "910-673-5775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH PSYCHOLOGICAL SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-23",
        "last_updated": "2009-02-23",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "DIRECTOR/CHIEF PSYCHOLOGIST",
        "authorized_official_telephone_number": "910-778-2427",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD,  PHD"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "NC",
            "license": "3503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6001053",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL REGISTER OF HEALTH CARE PROVIDERS",
            "identifier": "52035",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heidi Jean Bonsall, BT
• Jennifer Stallings Massey, DDS
• Quality Care Pharmacy of the Sandhills, Inc (Quality Care Pharmacy)
• Susan Rospert
• Seven Lakes Emergency Medical Service, Inc.
• Carol Yvonne Smith, PHD, PHD, MS, LICSW,
• Katelynne Marie Adams Svalina
• Sweet Magnolia Speech Therapy PLLC
• Carmen Thomas
• Wake Integrative Behavioral Medicine, PC

• Health Service Psychologist in Seven Lakes, NC
• Providers in Seven Lakes, NC by specialty
• Health Service Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2009; 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.