PSYCHIATRIC SERVICES, INC (NPI# 1831187566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831187566 |
| 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. LYNN C THOMAS (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 | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
E 1039 | AR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114915840 | Psychiatric Services, Inc | Psychiatric Residential Treatment Facility | 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 |
|---|---|---|---|---|
| 1114915840 | Psychiatric Services, Inc | Psychiatric Residential Treatment Facility | 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 | 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 |
|---|---|---|---|---|
| 1619461241 | Jessica Lauren Fugitt | Psychologist | 221 W 2nd St Ste 519, Little Rock, AR 72201-2505 | 2018-06-18 |
| 1386892370 | Phyllis Jane Thomas | Psychologist | 506 Green Mountain Cir, # 70, Little Rock, AR 72211-2632 | 2008-09-03 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679074082 | Michael E Wyrick | Psychologist | 1420 Longview Dr, Booneville, AR 72927-3830 | 2018-02-22 |
| 1598996076 | Taking Charge | Psychologist | 1116 S State St, Pine Bluff, AR 71601-5851 | 2009-08-02 |
| 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 |
| 1639137458 | Don A Neal | Psychologist | 2500 Rike Drive, Pine Bluff, AR 71603 | 2006-05-02 |
| 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 |
| 1326098732 | David A Nanak | Psychologist | 2500 Rike Drive, Pine Bluff, AR 71603 | 2006-05-10 |
| 1982653895 | Stephanie L Graves | Psychologist | 301 N Oak St, Sheridan, AR 72150 | 2006-05-08 |
| Find all providers with the same taxonomy | ||||
| City | LITTLE ROCK |
| Zip Code | 72207 |
Please comment or provide details below to improve the information on PSYCHIATRIC SERVICES, INC.
| 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.