Organization Active NPI

Kids for the Future, Inc.

  • Clinical Child & Adolescent Psychologist
  • Forrest City, AR
National Provider Identifier
1255507273
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
26859 Issued in AR
Legal business name
KIDS FOR THE FUTURE, INC.
Practice address
1501 Dawson Rd
Forrest City, AR 72335-2088
Phone
(870) 630-2328
Fax
(870) 662-6826
NPI assigned
Apr 30, 2008
Last updated
May 19, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Authorized official

Name
Mrs. Bess Ginty
Title
Ceo
Phone
(870) 633-1737

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X 26859 AR Primary
Early Intervention Provider Agency 252Y00000X

Addresses

Primary practice location

1501 Dawson Rd
Forrest City, AR 72335-2088

Mailing address

PO Box 2192
Forrest City, AR 72336-2192
Phone (870) 633-1737

Other identifiers 1

IdentifierTypeStateIssuer
165702526MedicaidAR

National Provider Directory

National Provider Directory

Locations

3998 Highway 1 N
Forrest City, AR 72335
Phone (870) 633-1737

NPI Registry JSON

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621382400000",
    "number": "1255507273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2192",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723362192",
            "telephone_number": "870-633-1737",
            "fax_number": "870-633-1738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 DAWSON RD",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723352088",
            "telephone_number": "870-630-2328",
            "fax_number": "870-662-6826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS FOR THE FUTURE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-30",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A",
        "authorized_official_last_name": "GINTY",
        "authorized_official_first_name": "BESS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "870-633-1737",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "AR",
            "license": "26859",
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165702526",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forrest City, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.