NPIMap

Individual provider Active NPI

Christina C Scott, PHD

  • Psychologist
  • Texarkana, AR
National Provider Identifier
1063507697
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
06-01-AR-PL Issued in AR
Practice address
2904 Arkansas Blvd
Texarkana, AR 71858
Phone
(870) 773-4655
Fax
(870) 772-4650
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 06-01-AR-PL AR Primary
Psychologist 103T00000X LA

Addresses

Primary practice location

2904 Arkansas Blvd
Texarkana, AR 71858

Mailing address

2904 Arkansas Blvd
Texarkana, AR 71858
Phone (870) 773-4655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
06-01-AR-PLARMDPsychologist
LA003275926LAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Arkansas Counseling and Mental Health Center, Inc PastSince Jan 1, 1990 Accepting new patients
Southwest Arkansas Counseling and Mental Health Center, Inc PastSince Jan 1, 1990 Accepting new patients
Southwest Arkansas Counseling and Mental Health Center, Inc PastSince Jan 1, 1990 Accepting new patients
Southwest Arkansas Counseling and Mental Health Center, Inc PastSince Jan 1, 1990 Accepting new patients
Southwest Arkansas Counseling & Mental Health Center, Inc PastSince Jan 1, 1990 Accepting new patients
Southwest Arkansas Counseling and Mental Health Center, Inc PastSince Jan 1, 1990 Accepting new patients
Southwest Arkansas Counseling and Mental Health Center, Inc. PastSince Jan 1, 1990 Accepting new patients
Southwest Arkansas Counseling and Mental Health Center, Inc PastSince Jan 1, 1990 Accepting new patients
Southwest Arkansas Counseling & Mental Health Center PastSince Jan 1, 1990 Accepting new patients
Southwest Arkansas Counseling and Mental Health Center, Inc PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063507697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2904 ARKANSAS BLVD",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "71858",
            "telephone_number": "870-773-4655",
            "fax_number": "870-772-4650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2904 ARKANSAS BLVD",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "71858",
            "telephone_number": "870-773-4655",
            "fax_number": "870-772-4650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "CHRISTINA",
        "middle_name": "C",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AR",
            "license": "06-01-AR-PL",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "LA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.