Individual provider Active NPI

Amy A Parish, PSY.D.

  • Clinical Neuropsychologist
  • Conway, AR
National Provider Identifier
1689684276
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
08-03P Issued in AR
Practice address
515 Oak St Ste C
Conway, AR 72032-4464
Phone
(866) 462-1915
NPI assigned
Aug 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 08-03P AR Primary

Addresses

Primary practice location

515 Oak St Ste C
Conway, AR 72032-4464

Mailing address

PO Box 55657
Little Rock, AR 72215-5657
Phone (866) 462-1915

Other practice location 1

712 N Washington Ave Ste 200
Dallas, TX 75246
Phone (877) 414-0414

Other practice location 2

901 Travis Ave
Fort Worth, TX 76104-3137
Phone (877) 414-0414

Other practice location 3

712 N Washington Ave Ste 200
Dallas, TX 75246
Phone (877) 414-0414

Other practice location 4

1699 Harrison St Ste D
Batesville, AR 72501-7318
Phone (877) 414-0414

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
I20070111000667 AR Practitioner - Clinical Psychologist 8628078805 Practice locations: Little Rock, AR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

415 N McKinley St
Suite 130
Little Rock, AR 72205-3172
Phone (877) 414-0414

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08-03PARMDClinical Neuropsychologist
37471TXMDPediatric Dentist

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1689684276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55657",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722155657",
            "telephone_number": "866-462-1915",
            "fax_number": "817-615-9821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 OAK ST STE C",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720324464",
            "telephone_number": "866-462-1915"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "712 N Washington Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "75246",
            "country_code": "US",
            "telephone_number": "877-414-0414",
            "fax_number": "817-615-9821",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "901 Travis Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761043137",
            "country_code": "US",
            "telephone_number": "877-414-0414",
            "fax_number": "817-615-9821",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "712 N Washington Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "75246",
            "country_code": "US",
            "telephone_number": "877-414-0414",
            "fax_number": "817-615-9821",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1699 Harrison St Ste D",
            "address_purpose": "LOCATION",
            "city": "Batesville",
            "state": "AR",
            "postal_code": "725017318",
            "country_code": "US",
            "telephone_number": "877-414-0414",
            "fax_number": "817-615-9821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARISH",
        "first_name": "AMY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "AR",
            "license": "08-03P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

Verify at the official NPI Registry.