Active NPI
Darryl Frederick Smith, PHD
- Clinical Psychologist
- Chapel Hill, NC
National Provider Identifier
1790930170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1726
- Practice address
- 111 Cloister CT
Suite 100
Chapel Hill, NC 27514-2295 - Phone
- (919) 402-4300
- Fax
- (919) 402-4330
- NPI assigned
- Nov 26, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1726 | NC | Primary |
Addresses
Primary practice location
111 Cloister CT
Suite 100
Chapel Hill, NC 27514-2295
Mailing address
245 Seminole Dr
Chapel Hill, NC 27514-1920
Phone (919) 402-4300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6000349 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1726 | NC | MD | Group Psychotherapy Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227657600000",
"number": "1790930170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 SEMINOLE DR",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275141920",
"telephone_number": "919-402-4300",
"fax_number": "919-402-4330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 CLOISTER CT",
"address_2": "SUITE 100",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275142295",
"telephone_number": "919-402-4300",
"fax_number": "919-402-4330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "DARRYL",
"middle_name": "FREDERICK",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-11-26",
"last_updated": "2008-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "1726",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6000349",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.