Individual provider Active NPI

Patricia Lillian Griffen, PH.D.

  • Clinical Psychologist
  • Little Rock, AR
National Provider Identifier
1083803936
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
AR79-6P Issued in AR
Practice address
18 Corporate Hill Dr
Suite 205
Little Rock, AR 72205-4549
Phone
(501) 223-8883
NPI assigned
Oct 17, 2007
Last updated
Oct 17, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X AR79-6P AR Primary

Addresses

Primary practice location

18 Corporate Hill Dr
Suite 205
Little Rock, AR 72205-4549

Mailing address

18 Corporate Hill Dr
Suite 205
Little Rock, AR 72205-4549
Phone (501) 223-8883

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101027000234 AR Practitioner - Clinical Psychologist 0840484564 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

18 Corporate Hill Dr
Suite 205
Little Rock, AR 72205-4541
Phone (501) 223-8883

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AR79-6PARMDClinical Psychologist

Organizations & group practices 1

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": "1192579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192579200000",
    "number": "1083803936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 CORPORATE HILL DR",
            "address_2": "SUITE 205",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722054549",
            "telephone_number": "501-223-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 CORPORATE HILL DR",
            "address_2": "SUITE 205",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722054549",
            "telephone_number": "501-223-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFEN",
        "first_name": "PATRICIA",
        "middle_name": "LILLIAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-17",
        "last_updated": "2007-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AR",
            "license": "AR79-6P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.