NPIMap

Organization Active NPI

Rose Smith Psychology PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Little Rock, AR
National Provider Identifier
1609241454
Registry record updated Dec 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ROSE SMITH PSYCHOLOGY PLLC
Practice address
2723 Foxcroft Rd
Suite 311a
Little Rock, AR 72227-2455
Phone
(501) 804-1786
Fax
(501) 661-0304
NPI assigned
Dec 4, 2015
Last updated
Dec 11, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2015

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

Authorized official

Name
Rose Smith, PHDNPI 1770800492
Title
Owner
Phone
(501) 804-1786

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

2723 Foxcroft Rd
Suite 311a
Little Rock, AR 72227-2455

Mailing address

2723 Foxcroft Rd
Suite 311a
Little Rock, AR 72227-2455
Phone (501) 804-1786

Other identifiers 1

IdentifierTypeStateIssuer
13-03POtherARSTATE LICENSE

National Provider Directory

National Provider Directory

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": "1449187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449792000000",
    "number": "1609241454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2723 FOXCROFT RD",
            "address_2": "SUITE 311A",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722272455",
            "telephone_number": "501-804-1786",
            "fax_number": "501-661-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2723 FOXCROFT RD",
            "address_2": "SUITE 311A",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722272455",
            "telephone_number": "501-804-1786",
            "fax_number": "501-661-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE SMITH PSYCHOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-04",
        "last_updated": "2015-12-11",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ROSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-804-1786",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "13-03P",
            "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 Dec 11, 2015; 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.