NPIMap

Organization Active NPI

Maci Scudder Therapy

Doing business as Mindwave Therapy

  • Clinical Social Worker
  • Little Rock, AR
National Provider Identifier
1669254181
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MACI SCUDDER THERAPY
Doing business as
Mindwave Therapy
Practice address
1501 N University Ave Ste 915
Little Rock, AR 72207-5238
Phone
(501) 492-6860
Fax
(501) 406-3671
NPI assigned
Oct 18, 2023
Last updated
Oct 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Authorized official

Name
Maci Nicole Scudder, LCSWNPI 1326524927
Title
Owner
Phone
(501) 492-6860

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X

Addresses

Primary practice location

1501 N University Ave Ste 915
Little Rock, AR 72207-5238

Mailing address

1501 N University Ave Ste 915
Little Rock, AR 72207-5238
Phone (501) 492-6860

Other identifiers 2

IdentifierTypeStateIssuer
1326524927MedicaidAR
1669524181MedicaidAR

Other names 2

  • MINDWAVE THERAPY Doing business as
  • Maci Scudder Therapy, LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240516001243 AR Part B Supplier - Clinic/Group Practice 3274974654 Receives reassigned benefits from 7 practitioners
Practice locations: Little Rock, AR

National Provider Directory

National Provider Directory

Locations

1501 N University Ave
Ste 915
Little Rock, AR 72207
Phone (501) 492-6860

2020 W 3rd St
Ste 500C
Little Rock, AR 72205

Practitioners & affiliated clinicians

Practitioners 10

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": "1697587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759708800000",
    "number": "1669254181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 N UNIVERSITY AVE STE 915",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722075238",
            "telephone_number": "501-492-6860",
            "fax_number": "501-406-3671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 N UNIVERSITY AVE STE 915",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722075238",
            "telephone_number": "501-492-6860",
            "fax_number": "501-406-3671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACI SCUDDER THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-18",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A",
        "authorized_official_last_name": "SCUDDER",
        "authorized_official_first_name": "MACI",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-492-6860",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1326524927",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669524181",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MINDWAVE THERAPY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Maci Scudder Therapy, LLC",
            "code": "4",
            "type": "Former Legal Business 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 Oct 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.