Organization Active NPI

Clinical Psychology Services, Inc.

  • Clinical Psychologist
  • Little Rock, AR
National Provider Identifier
1306976477
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
AR796P Issued in AR
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

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Patricia L. Griffen, PH.DNPI 1083803936
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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

Verify at the official NPI Registry.