PSYCHIATRIC SERVICES, INC (NPI# 1114915840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114915840 |
| Entity Type | Organization |
| Organization Name | PSYCHIATRIC SERVICES, INC |
| Practice Address |
5208 Kavanaugh Blvd Suite 4 Little Rock AR 72207-4609 |
| Practice Telephone | 5016147712 |
| Practice Fax Number | 5016147708 |
| Mailing Telephone | 5016147712 |
| Mailing Fax Number | 5016147708 |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. DAVID J STREETT (PSYCHIATRIST) |
| Authorized Official Telephone | 5016147712 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | E 1489 | AR | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831187566 | Psychiatric Services, Inc | Psychologist | 5208 Kavanaugh Blvd, Suite 4, Little Rock, AR 72207-4609 | 2005-10-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | PSYCHIATRIC SERVICES, INC. | 52-54 Washington St., Haverhill, MA 01832 |
| Street Address |
5208 KAVANAUGH BLVD SUITE 4 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72207-4609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831187566 | Psychiatric Services, Inc | Psychologist | 5208 Kavanaugh Blvd, Suite 4, Little Rock, AR 72207-4609 | 2005-10-06 |
| 1134117906 | Psychiatric Services, Inc. | Psychiatric Residential Treatment Facility | 5208 Kavanaugh Blvd, Suite 4, Little Rock, AR 72207-4609 | 2005-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245754555 | Yolanda Johnson | Case Manager/Care Coordinator | 1100 N University Suite 200, Little Rock, AR 72207 | 2017-07-28 |
| 1275065146 | Mccallum Medical Pa | Emergency Medicine | 1923 N Tyler St, Little Rock, AR 72207 | 2017-03-30 |
| 1700326790 | Denira Zardoost | Case Manager/Care Coordinator | 1100 N.uiversity, Evergreen Place Suite 200, Little Rock, AR 72207 | 2017-02-24 |
| 1952794828 | Robert Young Md | Clinic/Center | 4617 Crestwood Dr, Little Rock, AR 72207 | 2015-03-16 |
| 1366711004 | Amanda Diane Berg | Massage Therapist | 1405 N. Pierce St., Suite 210, Little Rock, AR 72207 | 2011-12-27 |
| 1801184080 | Larra Jean Bender | Massage Therapist | 1405 N. Pierce St. Suite 210, Little Rock, AR 72207 | 2011-07-21 |
| 1326371550 | Elizabeth G White | Social Worker | 1501 N University Ave Ste 416, Little Rock, AR 72207 | 2009-09-04 |
| 1437334364 | Lori Lamitina Nicholson | Chiropractor | 1405 North Pierce Street, Suite 210, Little Rock, AR 72207 | 2008-01-09 |
| 1568656858 | Megan Elizabeth Hughes | Social Worker | 5905 Forest Place, Little Rock, AR 72207 | 2007-08-30 |
| 1336361955 | Jennifer Baldwin | Occupational Therapist | 7204 M St, Little Rock, AR 72207 | 2007-05-03 |
| Find all providers in zip 72207 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396999801 | Youth Home, Inc | Psychiatric Residential Treatment Facility | 20400 Colonel Glenn Rd, Little Rock, AR 72210 | 2008-11-11 |
| 1083820146 | Youth Home, Inc | Psychiatric Residential Treatment Facility | 20400 Colonel Glenn Rd, Little Rock, AR 72210-5323 | 2007-05-15 |
| 1134117906 | Psychiatric Services, Inc. | Psychiatric Residential Treatment Facility | 5208 Kavanaugh Blvd, Suite 4, Little Rock, AR 72207-4609 | 2005-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932746070 | Habilitation Center, LLC | Psychiatric Residential Treatment Facility | 161 Skunk Hollow Road, Conway, AR 72032 | 2019-12-09 |
| 1225211741 | Woodridge of Forrest City, LLC | Psychiatric Residential Treatment Facility | 603 Kittel Rd, Forrest City, AR 72335-7728 | 2007-12-06 |
| 1447380423 | Piney Ridge Treatment Center, LLC | Psychiatric Residential Treatment Facility | 4253 Crossover Rd, Fayetteville, AR 72703 | 2007-03-07 |
| 1689020844 | Woodridge Northwest, LLC | Psychiatric Residential Treatment Facility | 2466 S 48th St, Springdale, AR 72762-6683 | 2016-05-06 |
| 1154707461 | Valley Behavioral Health System, LLC | Psychiatric Residential Treatment Facility | 10301 Mayo Dr, Barling, AR 72923-1660 | 2015-08-10 |
| 1013278233 | Ladonna Kay Delee | Psychiatric Residential Treatment Facility | 3204 E Moore Ave, Searcy, AR 72143-4826 | 2012-06-05 |
| 1134305436 | Woodridge Northeast, LLC | Psychiatric Residential Treatment Facility | 600 N 7th St, West Memphis, AR 72301 | 2008-01-16 |
| 1104033976 | Ameris of Arkansas, LLC | Psychiatric Residential Treatment Facility | 611 W Lee Ave, Osceola, AR 72370-3001 | 2007-05-17 |
| 1124144563 | Texarkana Behavioral Associates, L.c. | Psychiatric Residential Treatment Facility | 4253 N. Crossover Rd., Fayetteville, AR 72703-4593 | 2007-03-21 |
| 1316071228 | Texarkana Behavioral Asociates Lc | Psychiatric Residential Treatment Facility | 10301 Mayo Dr, Barling, AR 72923-1660 | 2007-03-15 |
| Find all providers with the same taxonomy | ||||
| City | LITTLE ROCK |
| Zip Code | 72207 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.