Individual provider Active NPI

Savanna Cloer McCain, PHD

  • Clinical Psychologist
  • Springdale, AR
National Provider Identifier
1386676583
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
00-11P Issued in AR
Practice address
19903 Santa Rosa Dr
Springdale, AR 72764-9297
Phone
(479) 856-6688
Fax
(479) 856-6696
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 00-11P AR
Counseling Psychologist 103TC1900X 00-11P AR
Clinical Psychologist 103TC0700X 00-11P AR Primary

Addresses

Primary practice location

19903 Santa Rosa Dr
Springdale, AR 72764-9297

Mailing address

19903 Santa Rosa Dr
Springdale, AR 72764-9297
Phone (479) 856-6688

Other identifiers 1

IdentifierTypeStateIssuer
142830019MedicaidAR

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address drmccain@mccainphd.hush.com Health Information Exchange (HIE)
Direct Messaging Address drmccain@mccainphd.hush.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080808000047 AR Practitioner - Clinical Psychologist 1456425560 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

19903 Santa Rosa Dr
Springdale, AR 72764-9297
Phone (479) 856-6688

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
00-11PARMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Savanna Cloer McCain PHD, PA Clinical CurrentSince Feb 13, 2016 Accepting new patients
Holden Psychiatric Institute, PA PastSince Nov 17, 2024 Accepting new patients

Locations

4257 N Gabel Dr
Ste 2B
Fayetteville, AR 72703
Phone (479) 738-7059

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1386676583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19903 SANTA ROSA DR",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727649297",
            "telephone_number": "479-856-6688",
            "fax_number": "479-856-6696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19903 SANTA ROSA DR",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727649297",
            "telephone_number": "479-856-6688",
            "fax_number": "479-856-6696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCAIN",
        "first_name": "SAVANNA",
        "middle_name": "CLOER",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AR",
            "license": "00-11P",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "AR",
            "license": "00-11P",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AR",
            "license": "00-11P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142830019",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drmccain@mccainphd.hush.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "19903 Santa Rosa Dr",
            "city": "Springdale",
            "state": "AR",
            "country_code": "US",
            "postal_code": "727649297",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drmccain@mccainphd.hush.com",
            "affiliation": "N",
            "endpointDescription": "secure email address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "19903 Santa Rosa Dr",
            "city": "Springdale",
            "state": "AR",
            "country_code": "US",
            "postal_code": "727649297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

Verify at the official NPI Registry.