PETER SMITH PSYD LLC NPI 1073210316

NPI Information

  • NPI: 1073210316
  • Provider Name: PETER SMITH PSYD LLC
  • Classification: Psychologist - 103TP0016X
  • Specialization: Prescribing (Medical)
  • Entity Type: Organization
  • Address: 101 LIVINGSTON LOOP STE 1
    SANTA TERESA, NM
    ZIP 88008
  • Phone: (505) 506-2546

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NPI Details

PETER SMITH PSYD LLC is a prescribing (medical) psychologist in Santa Teresa, NM. The provider is a licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended. PETER SMITH PSYD LLC NPI is 1073210316. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

101 LIVINGSTON LOOP STE 1
SANTA TERESA, NM
ZIP 88008-753
Phone: (505) 506-2546
Fax: (575) 201-7070

The provider's authorized official is Claudia Naranjo .
The authorized official title is Authorized Agent and has the following contact phone number (915) 256-9028.

The enumeration date for this NPI number is 2/7/2023 and was last updated on 3/23/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TP0016XPsychologistPrescribing (Medical)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
122639560MEDICAIDNEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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