Powell Psychiatric Services, P.a.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

E-8443 Issued in AR

Legal business name

POWELL PSYCHIATRIC SERVICES, P.A.

Practice address

17200 Chenal Pkwy
Suite 300
Little Rock, AR 72223-5958

Phone

(501) 539-0905

NPI assigned

May 19, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Justin A Powell, M.D.NPI 1477871424

Title

President

Phone

(501) 539-0905

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 1

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

• Justin Andrew Powell, M.D.

  • Psychiatry Physician
  • Benton, AR
  • NPI 1477871424
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418342400000",
    "number": "1124439591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23005",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722213005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17200 CHENAL PKWY",
            "address_2": "SUITE 300",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722235958",
            "telephone_number": "501-539-0905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWELL PSYCHIATRIC SERVICES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-19",
        "last_updated": "2014-12-12",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-539-0905",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AR",
            "license": "E-8443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Potts, MBA, RD, LD
• Dakota Lee Pouncey
• Lisa Gayle Pounders Sajovitz, M.D.
• John Philip Pounders Jr., M.D.
• Homayoun Pournik
• Aelicia Powell
• Chynna Powell
• Eric Powell, CRNA
• Mari Ray Powell, MSW
• Melissa Ann Powell, M.D.

• Psychiatry Physician in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Psychiatry Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.