S McKenna, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

10-07P Issued in AR

Legal business name

S MCKENNA, LLC

Practice address

1601 Rainbow Rd
Rogers, AR 72758-8821

Phone

(479) 254-1144

Fax

(479) 254-1099

NPI assigned

Jan 5, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Suzanne McKenna, PHDNPI 1316943095

Title

Psychologist

Phone

(479) 254-1144

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Practitioners 1

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

• Suzanne McKenna, PHD

  • Clinical Psychologist
  • Rogers, AR
  • NPI 1316943095
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1294185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294185600000",
    "number": "1154625127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 RAINBOW RD",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588821",
            "telephone_number": "479-254-1144",
            "fax_number": "479-254-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 RAINBOW RD",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588821",
            "telephone_number": "479-254-1144",
            "fax_number": "479-254-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S MCKENNA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-05",
        "last_updated": "2011-01-05",
        "status": "A",
        "authorized_official_last_name": "MCKENNA",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "479-254-1144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "AR",
            "license": "10-07P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "498570209",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dylan Russell
• Joanna Noel Russell
• Ryan D. Monson, P.a.
• Lizbeth A. Ryan, D.O.M.
• Stefanie Anne Ryan, APN
• S Todd Phelan, DDS, PA
• Luis L Saclolo, PT
• Safe Haven Counseling & Wellness LLC
• Saged Psychotherapy Inc.
• Amrit Kaur Saini, DDS

• Clinical Psychologist in Rogers, AR
• Providers in Rogers, AR by specialty
• Clinical Psychologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; 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.