Individual provider Active NPI

Renee Carlene Magiera-Planey, PH.D.

  • Clinical Neuropsychologist
  • Little Rock, AR
National Provider Identifier
1164489290
Registry record updated Jul 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
88-5P Issued in AR
Practice address
9601 Interstate 630 Exit 7
Psychological Services Ground Floor
Little Rock, AR 72205-7202
Phone
(505) 202-7033
Fax
(505) 202-7045
NPI assigned
May 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 88-5P AR Primary
Rehabilitation Psychologist 103TR0400X 88-5P AR

Addresses

Primary practice location

9601 Interstate 630 Exit 7
Psychological Services Ground Floor
Little Rock, AR 72205-7202

Mailing address

9601 Interstate 630 Exit 7
Psychological Services, Ground Floor
Little Rock, AR 72205-7202
Phone (501) 202-7033

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
88-5PARMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Imaging Center - Highway 10 LLC Past Accepting new patients
Baptist Health Hospitals Past Accepting new patients
Baptist Health Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1164489290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 INTERSTATE 630 EXIT 7",
            "address_2": "PSYCHOLOGICAL SERVICES, GROUND FLOOR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722057202",
            "telephone_number": "501-202-7033",
            "fax_number": "505-202-7045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 INTERSTATE 630 EXIT 7",
            "address_2": "PSYCHOLOGICAL SERVICES GROUND FLOOR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722057202",
            "telephone_number": "505-202-7033",
            "fax_number": "505-202-7045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGIERA-PLANEY",
        "first_name": "RENEE",
        "middle_name": "CARLENE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-01",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "AR",
            "license": "88-5P",
            "primary": true
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "AR",
            "license": "88-5P",
            "primary": false
        }
    ],
    "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 Jul 16, 2007; 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.