MS. SAMANTHA SEWELL SHORT (NPI# 1144465139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144465139 |
| Entity Type | Individual |
| Full Name | MS. SAMANTHA SEWELL SHORT |
| Other Name | SAMANTHA NICOLE ROBINSON |
| Credential | PSYD, LP |
| Practice Address |
317 Oak St Ste 3 Conway AR 72032-5679 |
| Practice Telephone | 5012913091 |
| Practice Fax Number | 5015880484 |
| Mailing Telephone | 5012913091 |
| Mailing Fax Number | 5015880484 |
| Enumeration Date | 2008-12-05 |
| Last Update Date | 2020-01-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
15-11P | AR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710084751 | Samantha J Short | Physician Assistant | 350 Heritage Way, Suite 2100, Kalispell, MT 59901-3158 | 2006-09-20 |
| Street Address |
317 OAK ST STE 3 |
| City | CONWAY |
| State | AR |
| Zip Code | 72032-5679 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093184210 | Therapy Assessment Center, LLC | Psychologist | 317 Oak St Ste 3, Conway, AR 72032 | 2015-09-17 |
| 1962813766 | Samantha Lovell | Counselor | 317 Oak St Ste 3, Conway, AR 72032-5679 | 2014-05-14 |
| 1184041808 | Lauren Watts | Counselor | 317 Oak St Ste 3, Conway, AR 72032-5679 | 2014-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730789843 | Amelia S Lasater | Pharmacist | 1155 Hwy 65n, Conway, AR 72032 | 2020-10-28 |
| 1619584604 | Danyelle Durocher | Occupational Therapist | 1301 North Museum Rd, Conway, AR 72032 | 2020-09-24 |
| 1780222174 | Eric Herman Boxnick | Pharmacist | 101 West Oak Street, Conway, AR 72032 | 2019-12-16 |
| 1932746070 | Habilitation Center, LLC | Psychiatric Residential Treatment Facility | 161 Skunk Hollow Road, Conway, AR 72032 | 2019-12-09 |
| 1679051668 | Mary Elizabeth Black | Nurse Practitioner | 222 Dave Ward Drive, Conway, AR 72032 | 2018-08-01 |
| 1275035602 | Conway Dental Center Pllc | Dentist | 1600 E. Oak Street Suite B, Conway, AR 72032 | 2018-03-01 |
| 1750821625 | Luke Osborne | Physical Therapy Assistant | 1 Thomas Ln, Conway, AR 72032 | 2017-02-27 |
| 1639620099 | Sam's West, Inc. | Technician/Technologist | 1250 South Amity Rd, Conway, AR 72032 | 2016-10-20 |
| 1922559343 | Sam's West, Inc. | Durable Medical Equipment & Medical Supplies | 1250 Sourth Amity Rd, Conway, AR 72032 | 2016-10-20 |
| 1639629108 | Posture Store | Durable Medical Equipment & Medical Supplies | 3900 Dave Ward Dr., Suite 1900-130, Conway, AR 72032 | 2016-10-09 |
| Find all providers in zip 72032 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457661951 | Elaine F. Campbell | Psychologist | 269 Reeds Bridge Rd, Conway, MA 01341-9713 | 2010-10-18 |
| 1598898439 | Cynthia Kay Burch | Psychologist | 24 Fournier Rd, Conway, MA 01341-9766 | 2007-03-13 |
| 1477614030 | Cheryl Bildner | Psychologist | 81 Washington Street, Box 2726, Conway, NH 03818 | 2006-12-13 |
| 1992286470 | Bellini Psychology | Psychologist | 81 Washington St, Conway, NH 03818 | 2018-08-23 |
| 1578807160 | Joel Barton Heffler | Psychologist | 1201 3rd Ave, Suite 107 Scdjj, Conway, SC 29526-5105 | 2012-11-20 |
| 1760605703 | Rehabcare Group East Inc. | Psychologist | 2210 Robinson Ave, Conway, AR 72034-4943 | 2007-04-10 |
| 1093836009 | Laurie Brodeur | Psychologist | 25 W Main St, Conway, NH 03818-6142 | 2007-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255973350 | Brandon J Griffin | Psychologist | 4281 Highway 201 S, Mountain Home, AR 72653-5543 | 2019-10-10 |
| 1194297648 | John M Ray | Psychologist | 2200 Fort Roots Dr 116b/nlr, North Little Rock, AR 72114-1709 | 2018-12-21 |
| 1699279158 | Eva N Woodward | Psychologist | 2200 Fort Roots Drive, 152 Nlr, North Little Rock, AR 72114-1709 | 2018-03-20 |
| 1265950034 | Elizabeth Chaisson | Psychologist | 1 W Mountain St Ste 307, Fayetteville, AR 72701-6068 | 2017-08-31 |
| 1962944579 | Gary J. Oliver | Psychologist | 2000 W University St, Siloam Springs, AR 72761-2112 | 2016-11-14 |
| 1922470020 | Savanna Cloer Mccain Phd, Pa | Psychologist | 4257 N Gabel Dr # 2b, Fayetteville, AR 72703-5004 | 2015-10-28 |
| 1679970214 | Kenneth Hobby | Psychologist | 910 E Park Ave, Ezell Center, Office 112, Searcy, AR 72143 | 2014-11-25 |
| 1043630734 | The Sage Center for Trauma and Wellness, Pllc | Psychologist | 2725 Cantrell Rd Ste 105, Little Rock, AR 72202-2044 | 2014-04-21 |
| 1265853378 | Renee Gibbs | Psychologist | 2200 Fort Roots Dr # 116b, North Little Rock, AR 72114-1709 | 2013-12-17 |
| 1922434729 | Hillary R. Hunt, Ph.d., Pllc | Psychologist | 3401 Rogers Ave, Suite B, Fort Smith, AR 72903-2956 | 2013-09-25 |
| Find all providers with the same taxonomy | ||||
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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.