Organization Active NPI

Clinical Psychology of Fort Smith, LLC

  • Clinical Psychologist
  • Fort Smith, AR
National Provider Identifier
1366481780
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
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 Directory

Locations

3801 Rogers Ave
Fort Smith, AR 72903
Phone (479) 783-0445

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.