Active NPI
Krameelah Marshae Banks, PHD
- School Psychologist
- Little Rock, AR
National Provider Identifier
1245291970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 05-13P
- Practice address
- 1501 N University Ave
Suite 205
Little Rock, AR 72207-5242 - Phone
- (501) 960-5779
- Fax
- (501) 296-9984
- NPI assigned
- Mar 31, 2006
- Last updated
- Aug 14, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 05-13P | AR | |
| School Psychologist | 103TS0200X | 05-13P | AR | Primary |
Addresses
Primary practice location
1501 N University Ave
Suite 205
Little Rock, AR 72207-5242
Mailing address
11800 Pleasant Ridge Rd
#345
Little Rock, AR 72223-2392
Phone (501) 960-5779
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5Y322 | Other | AR | BXBS |
| 156758719 | Medicaid | AR |
Medicare participation
Medicare enrollment files- 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05-13P | AR | MD | Psychologist |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Little Rock, AR
- NPI 1457609869
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565740800000",
"number": "1245291970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11800 PLEASANT RIDGE RD",
"address_2": "#345",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722232392",
"telephone_number": "501-960-5779",
"fax_number": "501-219-9926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 N UNIVERSITY AVE",
"address_2": "SUITE 205",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722075242",
"telephone_number": "501-960-5779",
"fax_number": "501-296-9984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANKS",
"first_name": "KRAMEELAH",
"middle_name": "MARSHAE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-31",
"last_updated": "2019-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "AR",
"license": "05-13P",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "AR",
"license": "05-13P",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BXBS",
"identifier": "5Y322",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "156758719",
"state": "AR"
}
],
"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 Aug 14, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.