Individual provider Active NPI

Andrew Paul Irwin-Smiler, PHD, MA

  • Psychologist
  • Winston Salem, NC
National Provider Identifier
1740614064
Registry record updated Aug 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
APPLICANT Issued in NC
Practice address
2910 Briarcliff Road
Winston-Salem, NC 27106
Phone
(336) 245-8161
Fax
(336) 773-0332
NPI assigned
Aug 22, 2013
Last updated
Aug 22, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X APPLICANT NC Primary

Addresses

Primary practice location

2910 Briarcliff Road
Winston-Salem, NC 27106

Mailing address

2910 Briarcliff Road
Winston-Salem, NC 27106
Phone (336) 245-8161

Other names 1

  • Andrew Paul Smiler Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150223000646 NC Practitioner - Psychologist Billing Independently 6709101496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2910 Briarcliffe Rd
Winston Salem, NC 27106-3176
Phone (336) 245-8161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
APPLICANTNCMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Evaluation and Education Services, LLC Psychologist CurrentSince Oct 14, 2014 Accepting new patients

Locations

2910 Briarcliffe Rd
Winston Salem, NC 27106
Phone (336) 245-8161

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1377129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377129600000",
    "number": "1740614064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 BRIARCLIFF ROAD",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "27106",
            "telephone_number": "336-245-8161",
            "fax_number": "336-773-0332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 BRIARCLIFF ROAD",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "27106",
            "telephone_number": "336-245-8161",
            "fax_number": "336-773-0332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRWIN-SMILER",
        "first_name": "ANDREW",
        "middle_name": "PAUL",
        "credential": "PHD, MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-22",
        "last_updated": "2013-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "APPLICANT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREW",
            "last_name": "SMILER",
            "middle_name": "PAUL",
            "credential": "PHD, MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.