NPIMap

Organization Active NPI

Psychiatric Services, Inc

  • Psychiatric Residential Treatment Facility
  • Little Rock, AR
National Provider Identifier
1114915840
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
E 1489 Issued in AR
Legal business name
PSYCHIATRIC SERVICES, INC
Practice address
5208 Kavanaugh Blvd
Suite 4
Little Rock, AR 72207-4609
Phone
(501) 614-7712
Fax
(501) 614-7708
NPI assigned
Oct 6, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. David J Streett, M.D.
Title
Psychiatrist
Phone
(501) 614-7712

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X E 1489 AR Primary

Addresses

Primary practice location

5208 Kavanaugh Blvd
Suite 4
Little Rock, AR 72207-4609

Mailing address

5208 Kavanaugh Blvd
Suite 4
Little Rock, AR 72207-4609
Phone (501) 614-7712

National Provider Directory

National Provider Directory
Tax ID family
Psychiatric Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114915840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5208 KAVANAUGH BLVD",
            "address_2": "SUITE 4",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722074609",
            "telephone_number": "501-614-7712",
            "fax_number": "501-614-7708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5208 KAVANAUGH BLVD",
            "address_2": "SUITE 4",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722074609",
            "telephone_number": "501-614-7712",
            "fax_number": "501-614-7708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRIC SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STREETT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "501-614-7712",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "AR",
            "license": "E 1489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.