Courtney O. Ghormley, PHD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

06-03P Issued in AR

Practice address

415 N McKinley St
Suite 645
Little Rock, AR 72205-3013

Phone

(501) 661-1700

Fax

(866) 521-5490

NPI assigned

Oct 13, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199750400000",
    "number": "1063502532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 N MCKINLEY ST",
            "address_2": "SUITE 645",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722053013",
            "telephone_number": "501-661-1700",
            "fax_number": "866-521-5490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N MCKINLEY ST",
            "address_2": "SUITE 645",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722053013",
            "telephone_number": "501-661-1700",
            "fax_number": "866-521-5490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHORMLEY",
        "first_name": "COURTNEY",
        "middle_name": "O.",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2008-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "AR",
            "license": "06-03P",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AR",
            "license": "06-03P",
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "AR",
            "license": "06-03P",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zena B Ghazala, M.D.
• Robert B Gherman, M.D.
• Anuranjan Ghimire, MD
• Mohanad Ghonim, MBBCH
• Benjamin Clayton Ghormley
• Yazan Zuhair Ghosheh, MD
• Jasmeet Ghotra
• Sharanpreet K Ghotra
• Narmeen Giacaman, MD
• Pamela E Giardina, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.