Active NPI
Kamra Elizabeth Mays, PH.D.
- Clinical Psychologist
- Bentonville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 07-13P
- Practice address
- 1720 S Walton Blvd Ste 6
Bentonville, AR 72712-7533 - Phone
- (870) 939-7606
- NPI assigned
- May 1, 2007
- Last updated
- Aug 15, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 07-13P | AR | |
| Cognitive & Behavioral Psychologist | 103TB0200X | 07-13P | AR | |
| Clinical Psychologist | 103TC0700X | 07-13P | AR | Primary |
| Health Service Psychologist | 103TH0100X | 07-13P | AR | |
| Health Psychologist | 103TH0004X | 07-13P | AR |
Addresses
Primary practice location
1720 S Walton Blvd Ste 6
Bentonville, AR 72712-7533
Mailing address
1426 Water Way Dr
Cave Springs, AR 72718
Phone (870) 939-7606
Other practice location 1
1708 E Joyce Blvd Ste 3
Fayetteville, AR 72703-5251
Phone (479) 301-2565
Other practice location 2
1720 S Walton Blvd Ste 6
Bentonville, AR 72712-7533
Phone (870) 939-7606
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07-13P | AR | MD | Health Service Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimal Pain and Wellness | Current | Accepting new patients | |
| Optimal Pain and Wellness | Current | Accepting new patients |
Locations
1708 E Joyce Blvd
Ste 3
Fayetteville, AR 72703
Phone (479) 301-2565
Organizations & group practices 3
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.
-
- Physical Medicine & Rehabilitation Physician
- Fayetteville, AR
- NPI 1487920146
-
dba Tranquility Behavioral Health
- Psychologist
- Bentonville, AR
- NPI 1326277252
-
- Physical Medicine & Rehabilitation Physician
- Van Buren, AR
- NPI 1619605094
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565827200000",
"number": "1073734919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1426 WATER WAY DR",
"city": "CAVE SPRINGS",
"state": "AR",
"postal_code": "72718",
"telephone_number": "870-939-7606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 S WALTON BLVD STE 6",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727127533",
"telephone_number": "870-939-7606"
}
],
"practiceLocations": [
{
"address_1": "1708 E Joyce Blvd Ste 3",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "AR",
"postal_code": "727035251",
"country_code": "US",
"telephone_number": "479-301-2565",
"fax_number": "479-301-2717",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1720 S Walton Blvd Ste 6",
"address_purpose": "LOCATION",
"city": "Bentonville",
"state": "AR",
"postal_code": "727127533",
"country_code": "US",
"telephone_number": "870-939-7606",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAYS",
"first_name": "KAMRA",
"middle_name": "ELIZABETH",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-01",
"last_updated": "2019-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "AR",
"license": "07-13P",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "AR",
"license": "07-13P",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AR",
"license": "07-13P",
"primary": true
},
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "AR",
"license": "07-13P",
"primary": false
},
{
"code": "103TH0004X",
"taxonomy_group": "",
"desc": "Psychologist, Health",
"state": "AR",
"license": "07-13P",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bentonville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.