Organization Active NPI

John N Marr PHD PA

  • Psychologist
  • Fayetteville, AR
National Provider Identifier
1700821998
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
JOHN N MARR PHD PA
Practice address
7 Colt Square Dr
#1
Fayetteville, AR 72703
Phone
(479) 575-0868
Fax
(479) 444-9346
NPI assigned
Jun 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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

Authorized official

Name
John N Marr
Title
Psychologist Owner
Phone
(479) 575-0868

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

7 Colt Square Dr
#1
Fayetteville, AR 72703

Mailing address

7 Colt Square Dr
#1
Fayetteville, AR 72703
Phone (479) 575-0868

Other names 1

  • Behavior Therapy Counseling Clinic Former legal business name

National Provider Directory

National Provider Directory

Locations

7 E Colt Square Dr
#1
Fayetteville, AR 72703
Phone (479) 575-0868

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1700821998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 COLT SQUARE DR",
            "address_2": "#1",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "72703",
            "telephone_number": "479-575-0868",
            "fax_number": "479-444-9346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 COLT SQUARE DR",
            "address_2": "#1",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "72703",
            "telephone_number": "479-575-0868",
            "fax_number": "479-444-9346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN N MARR PHD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "MARR",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PSYCHOLOGIST OWNER",
        "authorized_official_telephone_number": "479-575-0868"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Behavior Therapy Counseling Clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; 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.