| Dr Peter Norman Smith, PSYD | |
|
101 Livingston Loop Ste 1, Santa Teresa, NM 88008-9753 | |
| (505) 506-2546 | |
| (575) 201-7070 |
| Full Name | Dr Peter Norman Smith |
|---|---|
| Gender | Male |
| Speciality | Clinical Psychologist |
| Experience | 42 Years |
| Location | 101 Livingston Loop Ste 1, Santa Teresa, New Mexico |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508061169 | NPI | - | NPPES |
| 4320 | Other | AZ | BCIA-C |
| 612352100 | Other | AZ | DOL FECA |
| 22639560 | Medicaid | NM | |
| E-1463 | Other | AZ | BCIAC-EEG |
| 1290 | Other | NM | NM PSYCHOLOGIST |
| PSY-RXP0053 | Other | NM | STATE OF NEW MEXICO BOARD OF PSYCHOLOGIST EXAMINERS |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Buen Salud Inc | 9931337060 | 4 |
| Entity Name | Buen Salud Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275858490 PECOS PAC ID: 9931337060 Enrollment ID: O20140116000818 |
| Entity Name | Peter Smith Psyd Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073210316 PECOS PAC ID: 1052838158 Enrollment ID: O20250512001157 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Peter Norman Smith, PSYD 60 Beach St, South Portland, ME 04106-1607 Ph: (505) 506-2546 | Dr Peter Norman Smith, PSYD 101 Livingston Loop Ste 1, Santa Teresa, NM 88008-9753 Ph: (505) 506-2546 |
Dr. Jennifer Ann Darakjy, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5300 Mcnutt Rd, Suite 12, Santa Teresa, NM 88008 Phone: 915-588-0223 Fax: 915-231-6111 | |
Jeanette Edwards, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4950 Mcnutt Rd, Santa Teresa, NM 88063 Phone: 575-882-6200 | |
Dr. Sandra Martinez, PH.D. Psychologist Medicare: May Accept Medicare Assignments Practice Location: 101 Livingston Loop Ste C1, Santa Teresa, NM 88008 Phone: 575-824-9000 Fax: 866-232-9241 |