Organization Active NPI

Taking Charge

  • Cognitive & Behavioral Psychologist
  • Pine Bluff, AR
National Provider Identifier
1598996076
Registry record updated Aug 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
Legal business name
TAKING CHARGE
Practice address
1116 S State St
Pine Bluff, AR 71601-5851
Phone
(870) 540-7769
Fax
(870) 247-1494
NPI assigned
Aug 2, 2009
Last updated
Aug 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2009

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

Authorized official

Name
Ms. Geneva Clark, B.S. SOCIAL & BEHAVI
Title
Coordinator
Phone
(870) 540-7769

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X NU Primary

Addresses

Primary practice location

1116 S State St
Pine Bluff, AR 71601-5851

Mailing address

PO Box 9802
Pine Bluff, AR 71611-9802
Phone (870) 540-7769

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1249171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249171200000",
    "number": "1598996076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9802",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716119802",
            "telephone_number": "870-540-7769",
            "fax_number": "870-247-1494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 S STATE ST",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716015851",
            "telephone_number": "870-540-7769",
            "fax_number": "870-247-1494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAKING CHARGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-02",
        "last_updated": "2009-08-02",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "GENEVA",
        "authorized_official_title_or_position": "COORDINATOR",
        "authorized_official_telephone_number": "870-540-7769",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "B.S. SOCIAL & BEHAVI"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Bluff, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2009; 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.