Active NPI
Anita Marie Schimizzi, PH.D.
- Clinical Child & Adolescent Psychologist
- Chapel Hill, NC
National Provider Identifier
1851330575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- 2888
- Practice address
- 310 Kildaire Rd
Suite 106
Chapel Hill, NC 27516-4407 - Phone
- (919) 323-5428
- Fax
- (919) 967-7464
- NPI assigned
- Jun 6, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | 2888 | NC | Primary |
| School Psychologist | 103TS0200X | NC | ||
| Cognitive & Behavioral Psychologist | 103TB0200X | 2888 | NC | |
| Family Psychologist | 103TF0000X | 2888 | NC | |
| Psychologist | 103T00000X | 2888 | NC |
Addresses
Primary practice location
310 Kildaire Rd
Suite 106
Chapel Hill, NC 27516-4407
Mailing address
624 Bayberry Dr
Chapel Hill, NC 27517-9121
Phone (919) 323-5428
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6000682 | 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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2888 | NC | MD | Clinical Child & Adolescent Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370304000000",
"number": "1851330575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "624 BAYBERRY DR",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275179121",
"telephone_number": "919-323-5428",
"fax_number": "919-967-7464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 KILDAIRE RD",
"address_2": "SUITE 106",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275164407",
"telephone_number": "919-323-5428",
"fax_number": "919-967-7464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHIMIZZI",
"first_name": "ANITA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-06",
"last_updated": "2013-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "NC",
"license": "2888",
"primary": true
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NC",
"license": null,
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "NC",
"license": "2888",
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "NC",
"license": "2888",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "2888",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6000682",
"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 Jun 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.