Active NPI
Mark A Wargo, MS
- Psychologist
- Crossett, AR
National Provider Identifier
1124291059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 9916E
- Practice address
- 1308 West 5TH Street
Crossett, AR 71635 - Phone
- (870) 364-6471
- Fax
- (870) 364-9753
- NPI assigned
- Apr 11, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 9916E | AR | Primary |
Addresses
Primary practice location
1308 West 5TH Street
Crossett, AR 71635
Mailing address
790 Roberts Drive
Monticello, AR 71655
Phone (870) 367-9732
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9916E | AR | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delta Counseling Associates Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Monticello, AR
- NPI 1053364612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207872000000",
"number": "1124291059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 ROBERTS DRIVE",
"city": "MONTICELLO",
"state": "AR",
"postal_code": "71655",
"telephone_number": "870-367-9732",
"fax_number": "870-460-6133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1308 WEST 5TH STREET",
"city": "CROSSETT",
"state": "AR",
"postal_code": "71635",
"telephone_number": "870-364-6471",
"fax_number": "870-364-9753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARGO",
"first_name": "MARK",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-11",
"last_updated": "2008-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "AR",
"license": "9916E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crossett, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.