Active NPI
Clinical Psychology Services, Inc.
- Clinical Psychologist
- Little Rock, AR
National Provider Identifier
1306976477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- AR796P
- Legal business name
- CLINICAL PSYCHOLOGY SERVICES, INC.
- Practice address
- 18 Corporate Hill Dr Ste 205
Little Rock, AR 72205-4541 - Phone
- (501) 223-8883
- NPI assigned
- Mar 6, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Patricia L. Griffen, PH.D
- Title
- Clinical Psychologist-President
- Phone
- (501) 223-8883
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | AR796P | AR | Primary |
Addresses
Primary practice location
18 Corporate Hill Dr Ste 205
Little Rock, AR 72205-4541
Mailing address
18 Corporate Hill Dr Ste 205
Little Rock, AR 72205-4541
Phone (501) 223-8883
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101027000208 | AR | Part B Supplier - Clinic/Group Practice | 9133313851 |
Receives reassigned benefits from 1 practitioner Practice locations: Little Rock, AR |
National Provider Directory
National Provider DirectoryLocations
18 Corporate Hill Dr
Ste 205
Little Rock, AR 72205
Phone (501) 223-8883
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1306976477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 CORPORATE HILL DR STE 205",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722054541",
"telephone_number": "501-223-8883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 CORPORATE HILL DR STE 205",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722054541",
"telephone_number": "501-223-8883"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLINICAL PSYCHOLOGY SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-06",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GRIFFEN",
"authorized_official_first_name": "PATRICIA",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST-PRESIDENT",
"authorized_official_telephone_number": "501-223-8883",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "AR",
"license": "AR796P",
"primary": true
}
],
"identifiers": [],
"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 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.