Fayetteville Psychiatry, LTD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

FAYETTEVILLE PSYCHIATRY, LTD

Practice address

205 N College Ave
Fayetteville, AR 72701-4238

Phone

(479) 966-6993

NPI assigned

Aug 30, 2019

Last updated

Aug 30, 2019By 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

Adriana Stacey, MDNPI 1295778942

Title

Co-Manager

Phone

(479) 966-6993

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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.

• Adriana U. Stacey, M.D.

  • Psychiatry Physician
  • Fayetteville, AR
  • NPI 1295778942
  NPD Authorized official
• Mary Claire Meeks, MD

  • Psychiatry Physician
  • Springdale, AR
  • NPI 1659805950
  NPD

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

{
    "created_epoch": "1567123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567123200000",
    "number": "1710535935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4641 E BRIDGEWATER LN",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034670",
            "telephone_number": "479-966-6993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N COLLEGE AVE",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727014238",
            "telephone_number": "479-966-6993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAYETTEVILLE PSYCHIATRY, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-30",
        "last_updated": "2019-08-30",
        "status": "A",
        "authorized_official_last_name": "STACEY",
        "authorized_official_first_name": "ADRIANA",
        "authorized_official_title_or_position": "CO-MANAGER",
        "authorized_official_telephone_number": "479-966-6993",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fayetteville Eyecare Clinic
• Fayetteville Family Eye Care
• Fayetteville Group Health, LLC
• Fayetteville MRI LLC
• Fayetteville Plastic Surgery Clinic (Plastic Surgery Clinic of Northwest Arkansas)
• Fayetteville Psychotherapy Associates, PLC
• Fayetteville Surgical Assoc PA
• Fayetteville Vamc
• Fayetteville Vamc
• Fayetteville Vamc

• Psychiatry Physician in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Psychiatry Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.