Active NPI
Jennifer Lang, PHD
- Psychologist
- Maumelle, AR
National Provider Identifier
1346309580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 01-3P
- Practice address
- 1601 Murphy Dr
Maumelle, AR 72113-6187 - Phone
- (501) 803-3388
- Fax
- (501) 803-4272
- NPI assigned
- Dec 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 01-3P | AR | Primary |
Addresses
Primary practice location
1601 Murphy Dr
Maumelle, AR 72113-6187
Mailing address
18 Warwick Rd
Little Rock, AR 72205-1537
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BCBS | Other | AR | 5W643 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01-3P | AR | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Methodist Behavioral Health System, Inc | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Psychiatric Hospital
- Maumelle, AR
- NPI 1063415800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346309580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 WARWICK RD",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722051537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 MURPHY DR",
"city": "MAUMELLE",
"state": "AR",
"postal_code": "721136187",
"telephone_number": "501-803-3388",
"fax_number": "501-803-4272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANG",
"first_name": "JENNIFER",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "AR",
"license": "01-3P",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "5W643",
"identifier": "BCBS",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Maumelle, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.