Peter Joseph Smead

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

603 D St
San Rafael, CA 94901-3719

Phone

(925) 430-3032

NPI assigned

Jun 5, 2023

Last updated

Jun 5, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1720772676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 WOODSIDE WAY",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949011440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 D ST",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013719",
            "telephone_number": "925-430-3032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMEAD",
        "first_name": "PETER",
        "middle_name": "JOSEPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elan Slavin
• Monica Sligh, FNP
• Johanna A Slob
• Andrew David Small
• Mary Smart, RN
• Brenda Lee Smeeth
• Fiona Smeltzer
• Smith Bio Medical Inc
• Smith Ranch Care Center, LLC (Kindred Transitional Care and Rehabilitation-Smith Ranch)
• Virginia Ann Smith-Bronstein, M.D.

• Addiction (Substance Use Disorder) Counselor in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.

Verify at the official NPI Registry.