The Hillcrest Center for Emotional Wellbeing

Primary specialty

PsychoanalystTaxonomy code 102L00000X

License

E 1489 Issued in AR

Legal business name

THE HILLCREST CENTER FOR EMOTIONAL WELLBEING

Practice address

2701 Kavanaugh Blvd
209
Little Rock, AR 72205-3872

Phone

(501) 664-4900

Fax

(501) 664-4901

NPI assigned

Jun 18, 2010

Last updated

Jun 18, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David Streett, M.D.

Title

Psychiatrist

Phone

(501) 664-4900

Specialties & licenses 3

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1276819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276819200000",
    "number": "1083935514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 KAVANAUGH BLVD",
            "address_2": "209",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722053872",
            "telephone_number": "501-664-4900",
            "fax_number": "501-664-4901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 KAVANAUGH BLVD",
            "address_2": "209",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722053872",
            "telephone_number": "501-664-4900",
            "fax_number": "501-664-4901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HILLCREST CENTER FOR EMOTIONAL WELLBEING",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-18",
        "last_updated": "2010-06-18",
        "status": "A",
        "authorized_official_last_name": "STREETT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "501-664-4900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P0509059",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "2242-C",
            "primary": false
        },
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "AR",
            "license": "E 1489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178446795",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "169773795",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140151001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychoanalyst in Little Rock, AR
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2010; 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.