NPIMap

Organization Active NPI

Arkansas Childrens Professional Services Organization LLC

  • Developmental - Behavioral Pediatrics Physician
  • Little Rock, AR
National Provider Identifier
1649085564
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X
Legal business name
ARKANSAS CHILDRENS PROFESSIONAL SERVICES ORGANIZATION LLC
Practice address
1 Childrens Way # 664
Little Rock, AR 72202-3500
Phone
(501) 364-1100
Fax
(501) 978-6436
NPI assigned
Feb 10, 2025
Last updated
Feb 10, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
ARKANSAS CHILDRENS PROFESSIONAL SERVICES ORGANIZATION LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Authorized official

Name
Sheryl Phillips
Title
Ar Control Manager
Phone
(501) 364-2526

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental - Behavioral Pediatrics Physician 2080P0006X Primary

Addresses

Primary practice location

1 Childrens Way # 664
Little Rock, AR 72202-3500

Mailing address

PO Box 959794
Saint Louis, MO 63195-9794
Phone (501) 364-2526

Other practice location 1

2601 Gene George Blvd
Springdale, AR 72762-0845
Phone (479) 725-6800

Other practice location 2

900 S 52nd St Ste 200
Rogers, AR 72758-8640
Phone (479) 254-1100

Other names 2

  • Arkansas Children's Professional Services Organization LLC - Behavioral Health Other name
  • Arkansas Childrens Professional Services LLC, Behavioral Health Other name

National Provider Directory

National Provider Directory
Tax ID family
Arkansas Childrens Professional Services Organization LLC2 organizations share this tax ID, including this one
Part of
Arkansas Childrens Professional Services Organization LLC

Other organizations with this tax ID 1

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

Locations

1 Childrens Way
Ste 653
Little Rock, AR 72202

900 S 52nd St
Ste 200
Rogers, AR 72758
Phone (479) 254-1100

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 83

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.

View all 83

NPI Registry JSON

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

{
    "created_epoch": "1739145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739145600000",
    "number": "1649085564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 959794",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631959794",
            "telephone_number": "501-364-2526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CHILDRENS WAY # 664",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722023500",
            "telephone_number": "501-364-1100",
            "fax_number": "501-978-6436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2601 Gene George Blvd",
            "address_purpose": "LOCATION",
            "city": "Springdale",
            "state": "AR",
            "postal_code": "727620845",
            "country_code": "US",
            "telephone_number": "479-725-6800",
            "fax_number": "479-725-6582",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 S 52nd St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Rogers",
            "state": "AR",
            "postal_code": "727588640",
            "country_code": "US",
            "telephone_number": "479-254-1100",
            "fax_number": "479-254-2997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ARKANSAS CHILDRENS PROFESSIONAL SERVICES ORGANIZATION LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARKANSAS CHILDRENS PROFESSIONAL SERVICES ORGANIZATION LLC",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-06",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_title_or_position": "AR CONTROL MANAGER",
        "authorized_official_telephone_number": "501-364-2526"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arkansas Children's Professional Services Organization LLC - Behavioral Health",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Arkansas Childrens Professional Services LLC, Behavioral Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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, 2025; 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.