PSYCAMORE, LLC (NPI# 1588024574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588024574 |
| Entity Type | Organization |
| Organization Name | PSYCAMORE, LLC |
| Practice Address |
6323 Ranch Dr Little Rock AR 72223-4623 |
| Mailing Address |
2540 Flowood Dr Flowood MS 39232-9362 |
| Practice Telephone | 6019395993 |
| Mailing Telephone | 6019395993 |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2016-03-03 |
| Authorized Official Name | SUDHAKAR MADAKASIRA (CEO/MEDICAL DIRECTOR) |
| Authorized Official Telephone | 6019395993 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | AR | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417258625 | Psycamore, LLC | Clinic/Center | 563 Clarice Dr, Memphis, TN 38109-4627 | 2010-11-04 |
| 1003195967 | Psycamore, LLC | Clinic/Center | 2620 Executive Pl, Biloxi, MS 39531-3717 | 2011-08-10 |
| 1699090001 | Psycamore, LLC | Clinic/Center | 2540 Flowood Dr, Flowood, MS 39232-9362 | 2010-03-30 |
| 1043465040 | Psycamore, LLC | Clinic/Center | 7165 Getwell Rd, Building 3, Suite 1 & 2, Southaven, MS 38672-9659 | 2008-11-19 |
| 1285722678 | Psycamore, LLC | Clinic/Center | 2540 Flowood Dr, Flowood, MS 39232-9362 | 2006-10-11 |
| Street Address |
6323 RANCH DR |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72223-4623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386102242 | Tyler Edward Hicks | Chiropractor | 14300 West Cantrell Rd Suite 10, Little Rock, AR 72223 | 2019-03-08 |
| 1396268090 | Dawn Bridges | Day Training/Habilitation Specialist | 3920 Woodland Heights Road, Little Rock, AR 72223 | 2017-07-25 |
| 1235666983 | Grant Dennis | Chiropractor | 8201 Ranch Blvd., Suite B5, Little Rock, AR 72223 | 2017-05-12 |
| 1730581588 | Axpm-wlr, LLC | Dentist | 16003 Chanel Parkway, Little Rock, AR 72223 | 2014-09-24 |
| 1730421454 | Artineli Foot Care Solutions Pllc | Clinic/Center | 801 Technology Drive, Suite D, Little Rock, AR 72223 | 2013-03-20 |
| 1669758801 | William Patton Phillips | Obstetrics & Gynecology | 19 Bishop Place, Little Rock, AR 72223 | 2011-11-02 |
| 1003112160 | All Children's Therapy, Inc | Speech-Language Pathologist | 12410 Cantrell Rd., Suite 200, Little Rock, AR 72223 | 2011-02-07 |
| 1558697227 | Malcbndr581, LLC | Skilled Nursing Facility | 6411 Valley Ranch Dr, Little Rock, AR 72223 | 2009-10-30 |
| 1356578298 | Miranda White | Social Worker | 10 Pennsylvania Ct, Little Rock, AR 72223 | 2009-06-18 |
| 1457596959 | Leslie Ann Parks | General Practice | 14524 Cantrell Rd Suite 160, Little Rock, AR 72223 | 2008-12-11 |
| Find all providers in zip 72223 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629602008 | Rose Counseling and Consulting Pllc | Clinic/Center | 204 Executive Ct Ste 101, Little Rock, AR 72205-4542 | 2020-02-25 |
| 1922513498 | Pediatric Therapy 4 Kids | Clinic/Center | 8635 Chicot Rd, Little Rock, AR 72209-4445 | 2017-12-06 |
| 1669745626 | Epoch Health | Clinic/Center | 10700 N Rodney Parham Road, Ste C-10a, Little Rock, AR 72212 | 2012-02-21 |
| 1316138092 | P. A. Hames & Associates | Clinic/Center | 12511 Cantrell Rd, Suite 101, Little Rock, AR 72223-1639 | 2007-08-07 |
| 1437209491 | Sma Medicine & Nephrology Clinic LLC | Clinic/Center | 1515 Kanis Park Dr Ste B, Little Rock, AR 72205-4569 | 2007-01-11 |
| 1275694663 | Corporate Health America, Pllc | Clinic/Center | 7 Shackleford West Blvd Ste 402, Little Rock, AR 72211-3778 | 2006-12-12 |
| 1083271894 | Natural State Womens Health, LLC | Clinic/Center | 1701 S Shackleford Rd, Little Rock, AR 72211-4335 | 2019-05-28 |
| 1851861041 | Arkansas Manometry LLC | Clinic/Center | 212 Natural Resources Dr, Little Rock, AR 72205-1573 | 2018-11-29 |
| 1346753332 | Pinnacle Allergy Clinic, Pllc | Clinic/Center | 16101 Cantrell Rd Ste 104, Little Rock, AR 72223-4578 | 2017-11-13 |
| 1104226471 | Univ of Ar for Medical Sciences | Clinic/Center | 1301 Wolfe St, Little Rock, AR 72202-5320 | 2014-08-24 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72223 |
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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.