Narissa R. Griffin, PH.D., PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

11-21P Issued in AR

Legal business name

NARISSA R. GRIFFIN, PH.D., PLLC

Practice address

5401 Rogers Ave
Suite 201
Fort Smith, AR 72903-3745

Phone

(479) 242-4560

Fax

(479) 242-4561

NPI assigned

Feb 1, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Narissa R Griffin, PH.D.

Title

Clinical Psychologist

Phone

(479) 629-4304

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1454284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454284800000",
    "number": "1457719767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11417 N HIGHWAY 71",
            "city": "MOUNTAINBURG",
            "state": "AR",
            "postal_code": "729463641",
            "telephone_number": "479-629-4304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 ROGERS AVE",
            "address_2": "SUITE 201",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729033745",
            "telephone_number": "479-242-4560",
            "fax_number": "479-242-4561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NARISSA R. GRIFFIN, PH.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-01",
        "last_updated": "2016-02-01",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "NARISSA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "479-629-4304",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AR",
            "license": "11-21P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1457515108",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ARK001574",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2016; 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.