NPIMap

Organization Active NPI

Ascent Acquisitions Corp-PSC

Doing business as Pediatric Specialty Care

  • Developmentally Disabled Services Day Training Agency
  • Blytheville, AR
National Provider Identifier
1124151220
Registry record updated Apr 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
ASCENT ACQUISITIONS CORP-PSC
Doing business as
Pediatric Specialty Care
Practice address
1510 Byrum Rd
Blytheville, AR 72315-8033
Phone
(870) 532-2600
Fax
(870) 532-9484
NPI assigned
Mar 14, 2007
Last updated
Apr 12, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2012

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

Authorized official

Name
Holly Allgood
Title
Billing Specialist
Phone
(870) 819-0232

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NU Primary
Clinical Child & Adolescent Psychologist 103TC2200X NU
Speech-Language Pathologist 235Z00000X NU

Addresses

Primary practice location

1510 Byrum Rd
Blytheville, AR 72315-8033

Mailing address

3012 Turman Dr
Jonesboro, AR 72404-8998
Phone (870) 819-0200

Other identifiers 4

IdentifierTypeStateIssuer
5C082OtherARBCBS
160779526MedicaidAR
160787742MedicaidAR
161010724MedicaidAR

Other names 1

  • PEDIATRIC SPECIALTY CARE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ascent Acquisitions Corp-PSC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334188800000",
    "number": "1124151220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3012 TURMAN DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724048998",
            "telephone_number": "870-819-0200",
            "fax_number": "870-819-0217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 BYRUM RD",
            "city": "BLYTHEVILLE",
            "state": "AR",
            "postal_code": "723158033",
            "telephone_number": "870-532-2600",
            "fax_number": "870-532-9484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASCENT ACQUISITIONS CORP-PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2012-04-12",
        "status": "A",
        "authorized_official_last_name": "ALLGOOD",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "870-819-0232"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5C082",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160779526",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160787742",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161010724",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEDIATRIC SPECIALTY CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Blytheville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; 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.