Individual provider Active NPI

Hope McClintock Gilchrist, ED.D.

  • Psychologist
  • Jonesboro, AR
National Provider Identifier
1407936560
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
97-5P Issued in AR
Practice address
522 W Washington Ave
Jonesboro, AR 72401-2780
Phone
(870) 910-3730
Fax
(870) 933-8919
NPI assigned
Oct 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 97-5P AR Primary

Addresses

Primary practice location

522 W Washington Ave
Jonesboro, AR 72401-2780

Mailing address

522 W Washington Ave
Jonesboro, AR 72401-2780
Phone (870) 910-3730

Other identifiers 1

IdentifierTypeStateIssuer
5T500OtherARARKANSAS BLUE CROSS

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
I20211122001720 AR Practitioner - Clinical Psychologist 1456525179 Practice locations: Jonesboro, AR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

522 W Washington Ave
Jonesboro, AR 72401-2780
Phone (870) 333-5101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
97-5PARMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Gilchrist Psychological Services LLC 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.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407936560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 W WASHINGTON AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724012780",
            "telephone_number": "870-910-3730",
            "fax_number": "870-933-8919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 W WASHINGTON AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724012780",
            "telephone_number": "870-910-3730",
            "fax_number": "870-933-8919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILCHRIST",
        "first_name": "HOPE",
        "middle_name": "MCCLINTOCK",
        "credential": "ED.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AR",
            "license": "97-5P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS BLUE CROSS",
            "identifier": "5T500",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

Verify at the official NPI Registry.