MARK PEACOCK (NPI# 1558864785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558864785 |
| Entity Type | Individual |
| Full Name | MARK PEACOCK |
| Credential | PHD |
| Practice Address |
1100 N University Ave Ste 200 Little Rock AR 72207-6360 |
| Practice Telephone | 5016869300 |
| Mailing Telephone | 5016869300 |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2018-03-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
10-14P | AR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245340322 | Mark Allen Peacock | Family Medicine | 3841 Feather Oaks Dr. E., Jacksonville, FL 32277-2293 | 2006-08-30 |
| 1699734848 | Mark D Peacock | Obstetrics & Gynecology | 15940 Northcross Dr, Suite C, Huntersville, NC 28078-5062 | 2006-03-17 |
| 1275061475 | Mark Peacock | Student in an Organized Health Care Education/Training Program | 305 Langdon St, Somerset, KY 42503 | 2017-06-01 |
| 1578652616 | Mark Eugene Peacock | Dentist | 3736 Walton Way Ext, Augusta, GA 30907-2402 | 2006-10-12 |
| 1427052224 | Mark D Peacock | Internal Medicine | 300 20th Ave N, Suite G-4, Nashville, TN 37203-2131 | 2005-06-09 |
| Street Address |
1100 N UNIVERSITY AVE STE 200 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72207-6360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164483186 | William J. Meek | Psychiatry & Neurology | 1100 N University Ave Ste 200, Little Rock, AR 72207-6360 | 2006-03-29 |
| 1649749706 | Don Joseph Althoff | Social Worker | 1100 N University Ave Ste 200, Little Rock, AR 72207-6360 | 2018-11-19 |
| 1245723204 | Samantha Lynn Golden | Social Worker | 1100 N University Ave Ste 200, Little Rock, AR 72207 | 2018-06-13 |
| 1750874269 | Courtney Deann Griggs | Social Worker | 1100 N University Ave Ste 200, Little Rock, AR 72207-6360 | 2018-06-08 |
| 1881195832 | Joseph Gerard Baillie | Registered Nurse | 1100 N University Ave Ste 200, Little Rock, AR 72207-6360 | 2018-02-26 |
| 1427557156 | Stephen Carnes | Social Worker | 1100 N University Ave Ste 200, Little Rock, AR 72207-6360 | 2018-02-08 |
| 1952811879 | Christopher Heverling | Social Worker | 1100 N University Ave Ste 200, Little Rock, AR 72207-6360 | 2017-10-05 |
| 1073022166 | Jasmine Mackey | Social Worker | 1100 N University Ave Ste 200, Little Rock, AR 72207-6360 | 2017-09-21 |
| 1457879504 | Jessica Suitor | Social Worker | 1100 N University Ave Ste 200, Little Rock, AR 72207-6360 | 2017-09-08 |
| 1235655846 | Amanda Gayle Woolems | Social Worker | 1100 N University Ave Ste 200, Little Rock, AR 72207 | 2017-08-15 |
| Find all providers in the same location | ||||
| 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 | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043630734 | The Sage Center for Trauma and Wellness, Pllc | Psychologist | 2725 Cantrell Rd Ste 105, Little Rock, AR 72202-2044 | 2014-04-21 |
| 1134468895 | Brian Anderson | Psychologist | 1100 N University Ave Ste 108, Little Rock, AR 72207-6356 | 2013-01-31 |
| 1427300532 | Joy R. Pemberton | Psychologist | 4301 W. Markham, #554, Psychiatric Research Institute, Uams, Little Rock, AR 72205 | 2012-10-12 |
| 1548577521 | Laura Jane Gambone Nobles | Psychologist | 2723 Foxcroft Rd Ste 202a, Little Rock, AR 72227-6522 | 2010-09-11 |
| 1083858005 | George K. Simon Jr. | Psychologist | 1 Innwood Cir Ste 124, Little Rock, AR 72211-2448 | 2009-04-21 |
| 1730356825 | Tisha Lee Deen | Psychologist | 2723 Foxcroft Rd Ste 202, Little Rock, AR 72227-6522 | 2008-05-08 |
| 1205000403 | Meagan Rae Mcpherson | Psychologist | 10515 W Markham St Ste E3, Little Rock, AR 72205-2139 | 2008-04-17 |
| 1366635518 | Daniel John Broderick | Psychologist | 5 Chalamont Ct, Little Rock, AR 72223-5511 | 2007-08-21 |
| 1881894806 | Tracie L. Pasold | Psychologist | 800 Marshall St # 512-9, Dept. of Pediatrics, Section of Adolescent Medicine, Little Rock, AR 72202-3510 | 2007-07-18 |
| 1306976477 | Clinical Psychology Services, Inc. | Psychologist | 18 Corporate Hill Dr Ste 205, Little Rock, AR 72205-4541 | 2007-03-06 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72207 |
Please comment or provide details below to improve the information on MARK PEACOCK.
| 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.