Psychological Care Center

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

PSYCHOLOGICAL CARE CENTER

Practice address

308 W Monroe Ave
Jonesboro, AR 72401-2741

Phone

(870) 972-4770

NPI assigned

Feb 28, 2007

Organization subpart

No

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

Authorized official

Name

Dr. George M Deroeck, PSY.D.

Title

Psychologist

Phone

(870) 972-4770

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cara Kriehn De Roeck, L.P.C. L.P.E.

  • Specialist
  • Jonesboro, AR
  • NPI 1851475701
  NPD (past)

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548398910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 W MONROE AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724012741",
            "telephone_number": "870-972-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 W MONROE AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724012741",
            "telephone_number": "870-972-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEROECK",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "870-972-4770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ELECTRONIC SUBMITTER #",
            "identifier": "E3022",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olwyn Renita Pruitt
• Terrie Pruitt, LPN
• Mable R Prunty, APRN
• Matthew Prunty
• Skyler Prunty
• Psytech, Inc.
• Jonathan M Pucik, MHPP
• Ashley Michelle Puckett, MHPP
• Angela Pugsley, APRN
• Mary Pulliam

• Mental Health Clinic/Center (Including Community Mental Health Center) in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.