Individual provider Active NPI

Raymond Klein Molden, M.D.

  • Psychiatry Physician
  • Little Rock, AR
National Provider Identifier
1477585982
Registry record updated May 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
E4282 Issued in AR
Practice address
4 Executive Center CT
Little Rock, AR 72211-4487
Phone
(501) 448-0060
Fax
(501) 448-0066
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X E4282 AR Primary

Addresses

Primary practice location

4 Executive Center CT
Little Rock, AR 72211-4487

Mailing address

4 Executive Center CT
Little Rock, AR 72211-4487
Phone (501) 448-0060

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050707001005 AR Practitioner - Psychiatry 9830135169 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E4282ARMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Arkansas CurrentSince Jan 1, 2006 Accepting new patients
Northeast Arkansas Community Mental Health Center Inc CurrentSince Mar 1, 2007 Accepting new patients
Northeast Arkansas Community Mental Health Center Inc CurrentSince Mar 1, 2007 Accepting new patients
Arkansas Psychiatric Clinic, Professional Association Psychiatry CurrentSince Apr 1, 2020 Accepting new patients
State of Arkansas CurrentSince Jan 1, 2006 Accepting new patients

Locations

2707 Browns Ln
Jonesboro, AR 72401
Phone (870) 972-4000

4313 W Markham St
Little Rock, AR 72205
Phone (501) 686-9000

4 Executive Center Ct
Little Rock, AR 72211
Phone (501) 448-0060

305 S Palm St
Little Rock, AR 72205
Phone (501) 686-9000

21 Bridgeway Rd
North Little Rock, AR 72113
Phone (501) 771-1500

905 N 7th St
West Memphis, AR 72301
Phone (870) 735-5118

Interoperability endpoints

  • Direct secure messaging: raymondmolden@arpc.allscriptsdirect.net

Organizations & group practices 5

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.

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Arkansas College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arkansas Psychiatric Clinic, Professional Association 18 clinicians

Practice addresses (Care Compare)

4 Executive Ctr CT
Little Rock, AR 72211-4487
Phone (501) 448-0060

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": "1588550400000",
    "number": "1477585982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 EXECUTIVE CENTER CT",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114487",
            "telephone_number": "501-448-0060",
            "fax_number": "501-448-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 EXECUTIVE CENTER CT",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114487",
            "telephone_number": "501-448-0060",
            "fax_number": "501-448-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLDEN",
        "first_name": "RAYMOND",
        "middle_name": "KLEIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AR",
            "license": "E4282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.