Organization Active NPI

Psychology Partners, LLC

  • Counseling Psychologist
  • Little Rock, AR
National Provider Identifier
1508406372
Registry record updated Feb 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Legal business name
PSYCHOLOGY PARTNERS, LLC
Practice address
8201 Ranch Blvd Ste B1
Little Rock, AR 72223-4617
Phone
(501) 425-1000
NPI assigned
Jan 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2020

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

Authorized official

Name
Kandi Holmes, LPE-I
Title
Manager
Phone
(501) 476-7600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC1900X Primary

Addresses

Primary practice location

8201 Ranch Blvd Ste B1
Little Rock, AR 72223-4617

Mailing address

8201 Ranch Blvd Ste B1
Little Rock, AR 72223-4617
Phone (501) 476-7600

Other identifiers 1

IdentifierTypeStateIssuer
1538304175MedicaidAR

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581292800000",
    "number": "1508406372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8201 RANCH BLVD STE B1",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722234617",
            "telephone_number": "501-476-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 RANCH BLVD STE B1",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722234617",
            "telephone_number": "501-425-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGY PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-09",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "KANDI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "501-476-7600",
        "authorized_official_credential": "LPE-I"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1538304175",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; 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.