Active NPI
Kids Unlimited Learning Academy of Cabot
- Clinical Child & Adolescent Psychologist
- Cabot, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- Legal business name
- KIDS UNLIMITED LEARNING ACADEMY OF CABOT
- Practice address
- 3148 Highway 367 S
Cabot, AR 72023-7473 - Phone
- (501) 941-3500
- Fax
- (501) 246-7919
- NPI assigned
- Aug 20, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shelly A. Keller
- Title
- Ceo
- Phone
- (870) 932-3600
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | Primary |
Addresses
Primary practice location
3148 Highway 367 S
Cabot, AR 72023-7473
Mailing address
3148 Highway 367 S
Cabot, AR 72023-7473
Phone (501) 941-3500
National Provider Directory
National Provider Directory- Tax ID family
- Kids Unlimited Learning Academy
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Occupational Therapist
- Cabot, AR
- NPI 1629418934
-
- Developmental Disabilities Clinic/Center
- Cabot, AR
- NPI 1336731868
-
- Rehabilitation Clinic/Center
- Cabot, AR
- NPI 1699114132
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Speech-Language Pathologist
- Jonesboro, AR
- NPI 1629008321
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787184000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787184000000",
"number": "1114833076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3148 HIGHWAY 367 S",
"city": "CABOT",
"state": "AR",
"postal_code": "720237473",
"telephone_number": "501-941-3500",
"fax_number": "877-769-1668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3148 HIGHWAY 367 S",
"city": "CABOT",
"state": "AR",
"postal_code": "720237473",
"telephone_number": "501-941-3500",
"fax_number": "501-246-7919"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIDS UNLIMITED LEARNING ACADEMY OF CABOT",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-20",
"last_updated": "2026-08-20",
"certification_date": "2026-08-20",
"status": "A",
"authorized_official_last_name": "KELLER",
"authorized_official_first_name": "SHELLY",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "870-932-3600"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cabot, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.