Individual provider Active NPI

Robert Farrell, M.D.

  • Psychiatry Physician
  • Little Rock, AR
National Provider Identifier
1669494092
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
C-5129 Issued in AR
Practice address
501 N Elm St
Little Rock, AR 72205-3927
Phone
(501) 529-1634
NPI assigned
Jul 24, 2006
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X C-5129 AR Primary

Addresses

Primary practice location

501 N Elm St
Little Rock, AR 72205-3927

Mailing address

PO Box 250767
Little Rock, AR 72225-0767
Phone (501) 529-1634

Other practice location 1

815 N Spring St
Harrison, AR 72601-2904
Phone (870) 204-5697

Other practice location 2

600 Main St Ste V
Hot Springs, AR 71913-4964
Phone (501) 321-8201

Other identifiers 1

IdentifierTypeStateIssuer
105005001MedicaidAR

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040224000416 AR Practitioner - Orthopedic SurgeryPractitioner - Psychiatry 7416843842 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Psychiatry
Education
University of Arkansas College of Medicine, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
TFS of Gurdon IncGroup PAC ID 3971594052, 9 clinicians

Practice addresses (Care Compare)

829 Halbert St
Malvern, AR 72104-2607
Phone (501) 332-4400

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
TFS of Gurdon Inc CurrentSince Aug 24, 2019 Accepting new patients
Uhs of Benton, Inc. Past Accepting new patients
General Health Services of Arkansas Psychiatry PastSince Sep 4, 2018 Accepting new patients
Physician's Management Group Past Accepting new patients
Quality Care Counseling, PLLC PastSince Mar 12, 2018 Accepting new patients

Locations

316 W Saint Louis St
Hot Springs National Park, AR 71913
Phone (501) 321-8200

600 Main St
Ste V
Hot Springs National Park, AR 71913
Phone (501) 321-8200

1 Stagecoach Vlg
Ste 3
Little Rock, AR 72210
Phone (501) 753-8400

829 Halbert St
Malvern, AR 72104
Phone (501) 332-4400

902 Martin Luther King Blvd
Malvern, AR 72104
Phone (501) 332-4400

Organizations & group practices 5

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1669494092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250767",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722250767",
            "telephone_number": "501-529-1634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N ELM ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722053927",
            "telephone_number": "501-529-1634"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "815 N Spring St",
            "address_purpose": "LOCATION",
            "city": "Harrison",
            "state": "AR",
            "postal_code": "726012904",
            "country_code": "US",
            "telephone_number": "870-204-5697",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Main St Ste V",
            "address_purpose": "LOCATION",
            "city": "Hot Springs",
            "state": "AR",
            "postal_code": "719134964",
            "country_code": "US",
            "telephone_number": "501-321-8201",
            "fax_number": "501-321-8202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARRELL",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AR",
            "license": "C-5129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105005001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.