Individual provider Active NPI

Caren R Shaw, PH.D.

  • Psychologist
  • Little Rock, AR
National Provider Identifier
1649632407
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
16-03AP-PL Issued in AR
Practice address
2020 W 3Rd St Ste 609
Little Rock, AR 72205-4467
Phone
(501) 263-0400
Fax
(501) 492-6495
NPI assigned
Mar 22, 2016
Last updated
Sep 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 16-03AP-PL AR Primary
Cognitive & Behavioral Psychologist 103TB0200X 16-03AP-PL AR
Counseling Psychologist 103TC1900X 16-03AP-PL AR
Clinical Child & Adolescent Psychologist 103TC2200X 16-03AP-PL AR
Family Psychologist 103TF0000X 16-03AP-PL AR
Group Psychotherapy Psychologist 103TP2701X 16-03AP-PL AR
School Psychologist 103TS0200X 16-03AP-PL AR

Addresses

Primary practice location

2020 W 3Rd St Ste 609
Little Rock, AR 72205-4467

Mailing address

2020 W 3Rd St Ste 609
Little Rock, AR 72205-4467
Phone (501) 263-0400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190918001486 AR Practitioner - Clinical Psychologist 4981934932 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
16-03AP-PLARMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Chayim Kavanah Wellness LLC Psychologist Current Accepting new patients
Lead, Teach, Mentor LLC Past Accepting new patients
Arkansas Families First LLC Family PastSince Nov 1, 2015 Accepting new patients

Locations

505 W Pershing Blvd
Ste C
North Little Rock, AR 72114
Phone (501) 758-1002

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789689600000",
    "number": "1649632407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 W 3RD ST STE 609",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722054467",
            "telephone_number": "501-263-0400",
            "fax_number": "501-492-6495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 W 3RD ST STE 609",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722054467",
            "telephone_number": "501-263-0400",
            "fax_number": "501-492-6495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "CAREN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-22",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AR",
            "license": "16-03AP-PL",
            "primary": true
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "AR",
            "license": "16-03AP-PL",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "AR",
            "license": "16-03AP-PL",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "AR",
            "license": "16-03AP-PL",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "AR",
            "license": "16-03AP-PL",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "AR",
            "license": "16-03AP-PL",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "AR",
            "license": "16-03AP-PL",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.