Active NPI
Scott Alan Smith, MA LPA
- Psychologist
- Smithfield, NC
National Provider Identifier
1982714044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2195
- Practice address
- 521 N Brightleaf Blvd
Johnston County Mental Health Center
Smithfield, NC 27577-4407 - Phone
- (919) 989-5500
- Fax
- (919) 989-5532
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2195 | NC | Primary |
Addresses
Primary practice location
521 N Brightleaf Blvd
Johnston County Mental Health Center
Smithfield, NC 27577-4407
Mailing address
PO Box 411
Johnston County Mental Health Center
Smithfield, NC 27577-0411
Phone (919) 989-5500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6107061 | 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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2195 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982714044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 411",
"address_2": "JOHNSTON COUNTY MENTAL HEALTH CENTER",
"city": "SMITHFIELD",
"state": "NC",
"postal_code": "275770411",
"telephone_number": "919-989-5500",
"fax_number": "919-989-5532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 N BRIGHTLEAF BLVD",
"address_2": "JOHNSTON COUNTY MENTAL HEALTH CENTER",
"city": "SMITHFIELD",
"state": "NC",
"postal_code": "275774407",
"telephone_number": "919-989-5500",
"fax_number": "919-989-5532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "SCOTT",
"middle_name": "ALAN",
"name_prefix": "Mr.",
"credential": "MA LPA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "2195",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6107061",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Smithfield, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.