Donna M Van Kirk, EDD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

8210P Issued in AR

Practice address

204 N East Ave
Fayetteville, AR 72701-5225

Phone

(479) 466-9609

Fax

(479) 431-4948

NPI assigned

Jun 28, 2006

Last updated

Nov 27, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Specialty

Clinical Psychologist

Education

University of Arkansas College of Medicine, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Donna M Van Kirk Edd PLLC

  • Psychologist
  • Fayetteville, AR
  • NPI 1659737575
  Authorized official Same address or phone
• Catherine Hubbard Adams, LLC

  • Community/Behavioral Health Agency
  • Rogers, AR
  • NPI 1174812408
  NPD (past)
• John N Marr PHD PA

  • Psychologist
  • Fayetteville, AR
  • NPI 1700821998
  NPD (past)

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574812800000",
    "number": "1235167578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 S KESTREL DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727011322",
            "telephone_number": "479-466-0960",
            "fax_number": "479-431-4948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 N EAST AVE",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727015225",
            "telephone_number": "479-466-9609",
            "fax_number": "479-431-4948"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 E Colt Square Dr",
            "address_2": "SUITE #1",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "AR",
            "postal_code": "727032884",
            "country_code": "US",
            "telephone_number": "479-575-0868",
            "fax_number": "479-444-9346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN KIRK",
        "first_name": "DONNA",
        "middle_name": "M",
        "credential": "EDD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2019-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AR",
            "license": "8210P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116603719",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannelie Van Der Merwe, D.C.
• Katinka Van Der Merwe, D.C
• Lucas J Van Der Merwe, D.C.
• Sarah Louise Van Hook, LPC
• Mary Jane Valentine Van Horn I
• Kelsey Erin Van Slyke, CRNA
• Waylon Vande Hoef
• John R Vanderbush, O.D.
• Roy Douglas Vanderpool, M.D.
• Kelvin Vann

• Psychologist in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Psychologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.