Individual provider Active NPI

Richard Clark Flanigin, M.D.

  • Psychiatry Physician
  • Little Rock, AR
National Provider Identifier
1063515948
Registry record updated Sep 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
C-8254 Issued in AR
Practice address
4 Executive Center CT
Little Rock, AR 72211-4487
Phone
(501) 448-0060
NPI assigned
Sep 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X C-8254 AR Primary

Addresses

Primary practice location

4 Executive Center CT
Little Rock, AR 72211-4487

Mailing address

9817 Johnson Rd
Mabelvale, AR 72103-2701
Phone (501) 455-6397

Other identifiers 2

IdentifierTypeStateIssuer
134201001MedicaidAR
5J247OtherARAR BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040110000122 AR Practitioner - Psychiatry 9436059011 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Arkansas College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chenal Family Therapy PLCGroup PAC ID 8325395627, 39 clinicians

Practice addresses (Care Compare)

304 W Collin Raye Dr
Suite 103a
De Queen, AR 71832-2000
Phone (870) 304-2636

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Psychiatric Clinic, Professional Association Psychiatry CurrentSince Feb 1, 2014 Accepting new patients
Chenal Family Therapy, PLC CurrentSince Oct 1, 2022 Accepting new patients
Professional Counseling Associates Inc. PastSince May 31, 2020 Accepting new patients
Transitions Counseling Clinic PLC PastSince Apr 9, 2023 Accepting new patients
Arkansas Pathology Associates PA Past Accepting new patients
Living Hope Medical Services LLC Psychiatry Past Accepting new patients
Professional Counseling Associates Inc. PastSince May 31, 2020 Accepting new patients

Locations

304 W Collin Raye Dr
Ste 103A
De Queen, AR 71832
Phone (870) 200-9294

4 Executive Center Ct
Little Rock, AR 72211
Phone (501) 448-0060

10311 W Markham St
Little Rock, AR 72205
Phone (501) 681-3300

Interoperability endpoints

  • Direct secure messaging: richardflanigin@arpc.allscriptsdirect.net

Organizations & group practices 7

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": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410912000000",
    "number": "1063515948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9817 JOHNSON RD",
            "city": "MABELVALE",
            "state": "AR",
            "postal_code": "721032701",
            "telephone_number": "501-455-6397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 EXECUTIVE CENTER CT",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114487",
            "telephone_number": "501-448-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLANIGIN",
        "first_name": "RICHARD",
        "middle_name": "CLARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2014-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AR",
            "license": "C-8254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134201001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR BCBS",
            "identifier": "5J247",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.