TAKING CHARGE (NPI# 1598996076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598996076 |
| Entity Type | Organization |
| Organization Name | TAKING CHARGE |
| Practice Address |
1116 S State St Pine Bluff AR 71601-5851 |
| Mailing Address |
Po Box 9802 Pine Bluff AR 71611-9802 |
| Practice Telephone | 8705407769 |
| Practice Fax Number | 8702471494 |
| Mailing Telephone | 8705407769 |
| Mailing Fax Number | 8702471494 |
| Enumeration Date | 2009-08-02 |
| Last Update Date | 2009-08-02 |
| Authorized Official Name | MS. GENEVA CLARK (COORDINATOR) |
| Authorized Official Telephone | 8705407769 |
| Authorized Official Credential | B.S. SOCIAL & BE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | TAKING CHARGE LLC | 364 Jackson Hwy S, Toledo, WA 98591-9423 |
| Connecticut Business Registrations | TAKING CHARGE, INC. | 8500 Normandale Boulevard, Bloomington, MN 55437 |
| Street Address |
1116 S STATE ST |
| City | PINE BLUFF |
| State | AR |
| Zip Code | 71601-5851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205172335 | Cares Behavioral Services | Counselor | 1116 S State St, Pine Bluff, AR 71601-5851 | 2012-12-18 |
| 1639300064 | Patsy Pace | Counselor | 1116 S State St, Pine Bluff, AR 71601-5851 | 2009-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162863 | Kb's Adult Health Day Care Center | Clinic/Center | 2911 South Market Street, Pine Bluff, AR 71601 | 2020-10-19 |
| 1184244600 | Chelsea Briggs | Prosthetic/Orthotic Supplier | 601 S Main St Apt 514, Pine Bluff, AR 71601 | 2020-04-24 |
| 1407489081 | Katherine Bolden | Clinic/Center | 2911 East Market Street, Pine Bluff, AR 71601 | 2020-02-21 |
| 1851836829 | Rocky Mountain Holdings, LLC | Ambulance | 613b Hangar Row, Pine Bluff, AR 71601 | 2016-12-30 |
| 1316324494 | Nora Elizabeth Horton | Specialist/Technologist | 2003 University Drive, Suite 2, Pine Bluff, Ar, AR 71601 | 2015-04-28 |
| 1780003665 | Sameer R. Shelat | Internal Medicine | 4125, Rhinehart Road, Pine Bluff, AR 71601 | 2014-04-08 |
| 1700150471 | Community Empowerment Council, Inc. | Social Worker | 5830 Hwy 65 South, Pine Bluff, AR 71601 | 2012-02-28 |
| 1922243807 | The Pine Bluff Group, Pllc | Chiropractor | 2102 S. Olive St., Pine Bluff, AR 71601 | 2008-12-08 |
| 1053571711 | Jefferson Comprehensive Care System Inc | Clinic/Center | 1101 Tennssee, Pine Bluff, AR 71601 | 2008-06-16 |
| 1144404799 | The P.a.t. (people Advocating Transition) Center | Counselor | 620 South Laurel, Pine Bluff, AR 71601 | 2007-12-18 |
| Find all providers in zip 71601 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639137458 | Don A Neal | Psychologist | 2500 Rike Drive, Pine Bluff, AR 71603 | 2006-05-02 |
| 1326098732 | David A Nanak | Psychologist | 2500 Rike Drive, Pine Bluff, AR 71603 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619461241 | Jessica Lauren Fugitt | Psychologist | 221 W 2nd St Ste 519, Little Rock, AR 72201-2505 | 2018-06-18 |
| 1679074082 | Michael E Wyrick | Psychologist | 1420 Longview Dr, Booneville, AR 72927-3830 | 2018-02-22 |
| 1386892370 | Phyllis Jane Thomas | Psychologist | 506 Green Mountain Cir, # 70, Little Rock, AR 72211-2632 | 2008-09-03 |
| 1124274469 | Lewis E. Campbell | Psychologist | 4705 Somers Ave, Suite 1027, North Little Rock, AR 72116-7034 | 2008-08-18 |
| 1639361165 | Adam Benton | Psychologist | 4004 Mccain Blvd., Suite 203, North Little Rock, AR 72116 | 2007-08-17 |
| 1194897884 | Brian L Harlan, Md, Plc | Psychologist | 2616 W Beebe Capps Expy, Searcy, AR 72143-4968 | 2006-11-15 |
| 1255339461 | Becky L. Porter | Psychologist | 2024 Arkansas Valley Dr, Suite 604, Little Rock, AR 72212-4166 | 2005-07-12 |
| 1295995736 | Nancy M. Perry | Psychologist | 11825 Hinson Rd, Suite 102, Little Rock, AR 72212-3404 | 2008-06-09 |
| 1861525826 | Ascent Acquisitions Corp-psc | Psychologist | 413 W Tyler Ave, West Memphis, AR 72301-4149 | 2007-03-13 |
| 1831104363 | Adam Brazas | Psychologist | 8 Medical Plz, Mountain Home, AR 72653-2919 | 2006-07-31 |
| Find all providers with the same taxonomy | ||||
| City | PINE BLUFF |
| Zip Code | 71601 |
Please comment or provide details below to improve the information on TAKING CHARGE.
| 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.