Robert S. Maris PH.D., P.a.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

79-22P Issued in AR

Legal business name

ROBERT S. MARIS PH.D., P.A.

Practice address

7 Office Park Dr
Suite 120
Little Rock, AR 72211-3843

Phone

(501) 219-2419

Fax

(501) 219-2429

NPI assigned

Jun 9, 2010

Last updated

Jun 9, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Robert S Maris, PH.D.NPI 1083676092

Title

Owner/President

Phone

(501) 219-2419

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert Stephen Maris, PHD

  • Psychologist
  • Little Rock, AR
  • NPI 1083676092
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1276041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276041600000",
    "number": "1023338365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 OFFICE PARK DR",
            "address_2": "SUITE 120",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113843",
            "telephone_number": "501-219-2419",
            "fax_number": "501-219-2429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 OFFICE PARK DR",
            "address_2": "SUITE 120",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113843",
            "telephone_number": "501-219-2419",
            "fax_number": "501-219-2429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT S. MARIS PH.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-09",
        "last_updated": "2010-06-09",
        "status": "A",
        "authorized_official_last_name": "MARIS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "501-219-2419",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AR",
            "license": "79-22P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert E. Anderson, DDS, PA
• Robert E. Casali, M.D., P.a. (Central Arkansas Vascular Surgery)
• Robert L. Tramel, DDS, PLLC
• Robert Lee Fleming Professional LLC
• Robert Lyon Berry M.D. (Eye Care Arkansas)
• Robert Young MD
• Aaron Wesley Roberts, MD
• Alexandra Raeann Roberts, RD, LD
• Allison Roberts
• Alyse Morgan Roberts, CF-SLP

• Clinical Psychologist in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Clinical Psychologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.