Ark Academy, LLC

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

Legal business name

ARK ACADEMY, LLC

Practice address

106 Stonebridge Blvd
Jackson, TN 38305-2038

Phone

(731) 300-4275

NPI assigned

Dec 17, 2020

Last updated

May 27, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephen Edward Collier, MDNPI 1316058340

Title

Authorized Official

Phone

(731) 426-3464

Specialties & licenses 1

Addresses

Electronic endpoints 1

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.

• Stephen Edward Collier, M.D.

  • Internal Medicine Physician
  • Jackson, TN
  • NPI 1316058340
  NPD Authorized official

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

{
    "created_epoch": "1608163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653609600000",
    "number": "1649866203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 STONEBRIDGE BLVD",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052038",
            "telephone_number": "731-426-3464",
            "fax_number": "731-664-6141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 STONEBRIDGE BLVD",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052038",
            "telephone_number": "731-300-4275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARK ACADEMY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-17",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A",
        "authorized_official_last_name": "COLLIER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "731-426-3464",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Jackson",
            "affiliation": "N",
            "endpointDescription": "Talk EHR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "106 Stonebridge Blvd",
            "city": "Jackson",
            "state": "TN",
            "country_code": "US",
            "postal_code": "383052038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hailey Archer, RD
• Nicholas Archer
• Nicolas Arcuri, DPM
• Area Relief Ministries
• Jonathan Aristorenas, MD
• Susan H Armour
• Laura Armstrong
• Starlett Renee Armstrong, LCSW
• Elizabeth Arnold-Harris, RBT
• Aimee Marie Arnold, MLC

• Clinical Child & Adolescent Psychologist in Jackson, TN
• Providers in Jackson, TN by specialty
• Clinical Child & Adolescent Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; 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.