Individual provider Active NPI

William Clint Kindrick, M.D.

  • Psychiatry Physician
  • Fort Smith, AR
National Provider Identifier
1083858427
Registry record updated Oct 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
E-7817 Issued in AR
Practice address
7217 Cameron Park Dr
Fort Smith, AR 72903-6167
Phone
(479) 831-6007
Fax
(479) 782-1242
NPI assigned
Apr 29, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2019

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 E-7817 AR Primary

Addresses

Primary practice location

7217 Cameron Park Dr
Fort Smith, AR 72903-6167

Mailing address

12023 Ridgefield Dr
Fort Smith, AR 72916-8419
Phone (501) 208-7676

Other practice location 1

10301 Mayo Dr
Barling, AR 72923-1660
Phone (479) 494-5700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, MT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20131003000326 AR Practitioner - Psychiatry 3274767397 Reassigns benefits to 4 organizations
I20241101001996 MT Practitioner - Psychiatry 3274767397 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Center for Psychiatric Wellness, PLLCGroup PAC ID 8527373232, 11 clinicians

Practice addresses (Care Compare)

7217 Cameron Park Dr
Fort Smith, AR 72903-6167
Phone (479) 831-6007

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ouachita Regional Counseling and Mental Health Center, Inc. CurrentSince Jul 1, 2015 Accepting new patients
Billings Clinic Current Accepting new patients
Ouachita Regional Counseling & Mental Health Center, Inc. CurrentSince Jul 1, 2015 Accepting new patients
Billings Clinic CurrentSince Oct 24, 2024 Accepting new patients
Billings Clinic CurrentSince Oct 23, 2024 Accepting new patients
Ouachita Regional Counseling & Mental Health Center, Inc. Current Accepting new patients
Center for Psychiatric Wellness, PLLC. Psychiatry CurrentSince Jul 16, 2015 Accepting new patients
Valley Behavioral Health System LLC CurrentSince Jul 15, 2013 Accepting new patients
Valley Behavioral Health System, LLC Psychiatry CurrentSince Jul 15, 2013 Accepting new patients

Locations

815 Fort St
Ste A
Barling, AR 72923
Phone (479) 494-5740

10301 Mayo Dr
Barling, AR 72923
Phone (479) 494-5760

7217 Cameron Park Dr
Fort Smith, AR 72903
Phone (479) 434-3544

125 Wellness Way
Hot Springs National Park, AR 71913
Phone (501) 620-5231

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

Organizations & group practices 9

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": "1240963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1083858427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12023 RIDGEFIELD DR",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729168419",
            "telephone_number": "501-208-7676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7217 CAMERON PARK DR",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729036167",
            "telephone_number": "479-831-6007",
            "fax_number": "479-782-1242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10301 Mayo Dr",
            "address_purpose": "LOCATION",
            "city": "Barling",
            "state": "AR",
            "postal_code": "729231660",
            "country_code": "US",
            "telephone_number": "479-494-5700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINDRICK",
        "first_name": "WILLIAM",
        "middle_name": "CLINT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-29",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AR",
            "license": "E-7817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.