Kenneth D. Wright, M.D.
Individual provider Active NPI Psychiatry Physician · Benton, AR
NPI 1215978770 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1215978770
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- C6902 (AR)
- Practice address
- 787 Racetrack Rd
Benton, AR 72015-9461 - Phone
- (501) 316-0048
- NPI assigned
- Jun 8, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- University of Arkansas College of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Birch Tree Communities Inc
Practice addresses (Care Compare)
6701 Hwy 67 S
BLDG 4
Benton, AR 72015-8909
Phone (501) 315-3344
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040623000888 | AR | Practitioner - Psychiatry | 1254316185 |
Reassigns benefits to 2 organizations Practice locations: Benton, AR; Malvern, AR |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C6902 | AR | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Birch Tree Communities, Inc | Current |
Accepting new patients | |
| Counseling Clinic, Inc. | Current |
Accepting new patients | |
| Birch Tree Communities Inc | Current | Accepting new patients | |
| Birch Tree Communities, Inc | Current |
Accepting new patients | |
| Counseling Clinic, Inc | Psychiatry | Current |
Accepting new patients |
Locations
6701 Highway 67
Bldg 4
Benton, AR 72015
6701 Highway 67
Benton, AR 72015
Phone (501) 303-3148
1718 Hot Springs Hwy
Benton, AR 72019
Phone (501) 303-1634
6701 Highway 67
Bldg 70
Benton, AR 72015
1506 Mary Kay Blvd
Benton, AR 72015
Phone (501) 303-1665
110 Pearson
Benton, AR 72015
Phone (501) 315-4224
522 Mill Rd
Clarksville, AR 72830
Phone (479) 705-1301
706 N Brown St
Clarksville, AR 72830
Phone (479) 705-1301
242 Shake Rag Rd
Clinton, AR 72031
Phone (501) 745-3033
132 Lower Ridge Rd
Conway, AR 72032
Phone (501) 548-9905
310 Whittington Ave
Hot Springs National Park, AR 71901
Phone (501) 623-3477
1628 E Page Ave
Malvern, AR 72104
Phone (501) 332-4437
218 Dogwood Hollow Rd
Mountain View, AR 72560
Phone (870) 269-2298
210 Third St
Newport, AR 72112
Phone (870) 523-9496
210 N Shamrock Blvd
Russellville, AR 72802
Phone (479) 747-7302
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | C6902 | AR | Yes |
Addresses
Primary practice location
787 Racetrack Rd
Benton, AR 72015-9461
Mailing address
787 Racetrack Rd
Benton, AR 72015-9461
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 129248002 | Medicaid | AR |
Other providers in Benton, AR
- Linda Katherine Wooten
- Rebecca Worley
- Anne Michelle Wright
- Casey Wright
- Charsa Sue Wright
- Melissa Wright
- Morganne Wright
- Teresa Ann Wright
- Whitney Wright
- Erika Wyatt
All providers in Benton, AR · Psychiatry Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.