Organization Active NPI

Christian Psychological Resources

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Russellville, AR
National Provider Identifier
1649419607
Registry record updated Feb 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
88-06P Issued in AR
Legal business name
CHRISTIAN PSYCHOLOGICAL RESOURCES
Practice address
2621 W Main St Ste 4
Russellville, AR 72801-2551
Phone
(479) 967-3700
Fax
(479) 967-3323
NPI assigned
Feb 16, 2009
Last updated
Feb 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2009

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

Authorized official

Name
Dr. Don Ott, PSY.D.NPI 1780722157
Title
Sole-Proprietor
Phone
(479) 967-3700

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 88-06P AR Primary

Addresses

Primary practice location

2621 W Main St Ste 4
Russellville, AR 72801-2551

Mailing address

PO Box 9070
2621 West Main Street, Suite 4
Russellville, AR 72811-9070
Phone (479) 967-3700

Other names 1

  • CPR Other name

National Provider Directory

National Provider Directory

Locations

2621 W Main St
Ste 4
Russellville, AR 72801
Phone (479) 967-3700

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": "1234742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234742400000",
    "number": "1649419607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9070",
            "address_2": "2621 WEST MAIN STREET, SUITE 4",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728119070",
            "telephone_number": "479-967-3700",
            "fax_number": "479-967-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 W MAIN ST STE 4",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728012551",
            "telephone_number": "479-967-3700",
            "fax_number": "479-967-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN PSYCHOLOGICAL RESOURCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-16",
        "last_updated": "2009-02-16",
        "status": "A",
        "authorized_official_last_name": "OTT",
        "authorized_official_first_name": "DON",
        "authorized_official_title_or_position": "SOLE-PROPRIETOR",
        "authorized_official_telephone_number": "479-967-3700",
        "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": "AR",
            "license": "88-06P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CPR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Russellville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.