Organization Active NPI

Sean's Crisis Center

  • Psychiatry Physician
  • Little Rock, AR
National Provider Identifier
1568081388
Registry record updated Apr 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
SEAN'S CRISIS CENTER
Practice address
3305 Malloy St
Little Rock, AR 72204-4480
Phone
(501) 412-5520
NPI assigned
Apr 11, 2020
Last updated
Apr 11, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
THE DAVIDSON HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 11, 2020

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

Authorized official

Name
Sean Davidson, M.DNPI 1043865082
Title
Ceo
Phone
(501) 412-5520

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

3305 Malloy St
Little Rock, AR 72204-4480

Mailing address

3305 Malloy St
Little Rock, AR 72204-4480
Phone (501) 412-5520

National Provider Directory

National Provider Directory
Tax ID family
The Davidson Hospital2 organizations share this tax ID, including this one
Part of
The Davidson Hospital

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1586563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586563200000",
    "number": "1568081388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3305 MALLOY ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722044480",
            "telephone_number": "501-412-5520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 MALLOY ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722044480",
            "telephone_number": "501-412-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAN'S CRISIS CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE DAVIDSON HOSPITAL",
        "enumeration_date": "2020-04-11",
        "last_updated": "2020-04-11",
        "certification_date": "2020-04-11",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "501-412-5520",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 11, 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.