Active NPI
Clinical Psychology of Fort Smith, LLC
- Clinical Psychologist
- Fort Smith, AR
National Provider Identifier
1366481780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- CLINICAL PSYCHOLOGY OF FORT SMITH, LLC
- Practice address
- 3801 Rogers Ave
Fort Smith, AR 72903-3045 - Phone
- (479) 783-0445
- Fax
- (479) 782-5883
- NPI assigned
- Jun 5, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Dr. Phillip W Barling, PH.D.
- Title
- Clinical Psychologist, LLC/Partner
- Phone
- (479) 783-0445
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
National Provider Directory
National Provider DirectoryLocations
3801 Rogers Ave
Fort Smith, AR 72903
Phone (479) 783-0445
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
3801 Rogers Ave
Fort Smith, AR 72903-3045
Mailing address
3801 Rogers Ave
Fort Smith, AR 72903-3045
Phone (479) 783-0445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 29, 2021.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1627516800000",
"number": "1366481780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3801 ROGERS AVE",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729033045",
"telephone_number": "479-783-0445",
"fax_number": "479-782-5883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 ROGERS AVE",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729033045",
"telephone_number": "479-783-0445",
"fax_number": "479-782-5883"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLINICAL PSYCHOLOGY OF FORT SMITH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-05",
"last_updated": "2021-07-29",
"certification_date": "2021-07-29",
"status": "A",
"authorized_official_last_name": "BARLING",
"authorized_official_first_name": "PHILLIP",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST, LLC/PARTNER",
"authorized_official_telephone_number": "479-783-0445",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Smith, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.