NPIMap

Organization Active NPI

Pellegrino Center for Clinical Neuroscience

Doing business as P.C.C.N.

  • Specialist
  • Hot Springs, AR
National Provider Identifier
1225095524
Registry record updated Oct 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
N7649 Issued in AR
Legal business name
PELLEGRINO CENTER FOR CLINICAL NEUROSCIENCE
Doing business as
P.C.C.N.
Practice address
1 Mercy LN
Suite 505
Hot Springs, AR 71913-6442
Phone
(501) 623-0280
Fax
(501) 623-2405
NPI assigned
Apr 28, 2006
Last updated
Oct 31, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2007

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

Authorized official

Name
Dr. Richard G Pellegrino, M.D.,PH.DNPI 1912988627
Title
President
Phone
(501) 623-0280

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X N7649 AR Primary

Addresses

Primary practice location

1 Mercy LN
Suite 505
Hot Springs, AR 71913-6442

Mailing address

1 Mercy LN
Suite 505
Hot Springs, AR 71913-6442
Phone (501) 623-0280

Other names 1

  • P.C.C.N. Doing business as

National Provider Directory

National Provider Directory

Locations

1 Mercy Ln
Ste 503
Hot Springs, AR 71913
Phone (501) 623-0280

1 Mercy Ln
Ste 505
Hot Springs, AR 71913
Phone (501) 623-0280

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1225095524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MERCY LN",
            "address_2": "SUITE 505",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136442",
            "telephone_number": "501-623-0280",
            "fax_number": "501-623-2405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MERCY LN",
            "address_2": "SUITE 505",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136442",
            "telephone_number": "501-623-0280",
            "fax_number": "501-623-2405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELLEGRINO CENTER FOR CLINICAL NEUROSCIENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-28",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "PELLEGRINO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-623-0280",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,PH.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AR",
            "license": "N7649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "P.C.C.N.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hot Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.