Narissa Rae Griffin, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

11-21P Issued in AR

Practice address

5401 Rogers Ave Ste 201
Fort Smith, AR 72903

Phone

(479) 242-4560

Fax

(479) 242-4561

NPI assigned

Jul 11, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Narissa Rae Hutchinson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1457515108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 ROGERS AVE STE 201",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729033763",
            "telephone_number": "479-242-4560",
            "fax_number": "479-242-4561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 ROGERS AVE STE 201",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "72903",
            "telephone_number": "479-242-4560",
            "fax_number": "479-242-4561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "NARISSA",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-11",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AR",
            "license": "11-21P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "190433719",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NARISSA",
            "last_name": "HUTCHINSON",
            "middle_name": "RAE",
            "credential": "M.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christopher A Greer, DO
• Kristen Gregerson
• Jennifer Grier, MSW, LCSW
• Jordan L Griffie, LPC
• Frank Griffin, DDS
• Tarra Lee Griffin, PTA
• Edward Griffis, ATC/LAT
• Aundrea Griffith, RN
• John Griffith, MHPP
• Kevin L. Griffith, M.D.

• Clinical Psychologist in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Clinical Psychologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; 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.