Individual provider Active NPI

Gary T. Souheaver, PH.D.

  • Adult Development & Aging Psychologist
  • Little Rock, AR
National Provider Identifier
1073581468
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Development & Aging PsychologistTaxonomy code 103TA0700X
License
7825P Issued in AR
Practice address
6 Margeaux CT
Little Rock, AR 72223-9193
Phone
(501) 868-4933
NPI assigned
Mar 10, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 7825P AR
Psychologist 103T00000X 7825P AR
Adult Development & Aging Psychologist 103TA0700X 7825P AR Primary

Addresses

Primary practice location

6 Margeaux CT
Little Rock, AR 72223-9193

Mailing address

6 Margeaux CT
Little Rock, AR 72223-9193
Phone (501) 868-4933

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
7825PARMDAdult Development & Aging Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Neuroscience Associates PA Past Accepting new patients
Behavior Management Systems, Inc Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1073581468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 MARGEAUX CT",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722239193",
            "telephone_number": "501-868-4933",
            "fax_number": "501-868-4077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 MARGEAUX CT",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722239193",
            "telephone_number": "501-868-4933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUHEAVER",
        "first_name": "GARY",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "AR",
            "license": "7825P",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AR",
            "license": "7825P",
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "AR",
            "license": "7825P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.