Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Peter J. Smith, EDD

Individual provider Adult Development & Aging Psychologist · NPI 1306875612

Dr. Peter J. Smith, EDD is a Clinical Psychologist in Chapel Hill, North Carolina. Qualified in 1989, 37 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
37
Licensed in
NC
In the registry since
2006
Specialties on file
6
What do these letters mean?
EDD — Doctor of Education
A doctorate in education.

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Practice location Address checks out

100 Westgreen Dr Ste 201
Chapel Hill, NC 27516-4417
Phone: (919) 933-6500
Fax: (919) 933-0334
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 2105 (NC)
Adult Development & Aging Psychologist Taxonomy 103TA0700X · Licence 2105 (NC)
Cognitive & Behavioral Psychologist Taxonomy 103TB0200X · Licence 2105 (NC)
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X · Licence 2105 (NC)
Family Psychologist Taxonomy 103TF0000X · Licence 2105 (NC)
Health Service Psychologist Taxonomy 103TH0100X · Licence 2105 (NC)

Record details

NPI number1306875612
Entity typeIndividual (Type 1)
GenderMale
Credentials EDD
Sole proprietorYes
NPI enumeratedJune 30, 2006
Last updated in NPPESJanuary 17, 2021
Certification dateJanuary 17, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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