Individual provider Active NPI

Dawn Phelps Doray, PSYD

  • Clinical Child & Adolescent Psychologist
  • Little Rock, AR
National Provider Identifier
1720178395
Registry record updated Mar 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
04-3P Issued in AR
Practice address
10800 Financial Centre Pkwy
Suite 490
Little Rock, AR 72211-3552
Phone
(501) 240-1167
Fax
(501) 228-8189
NPI assigned
Oct 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X 04-3P AR Primary
Clinical Psychologist 103TC0700X 04-3P AR

Addresses

Primary practice location

10800 Financial Centre Pkwy
Suite 490
Little Rock, AR 72211-3552

Mailing address

10800 Financial Centre Pkwy
Suite 490
Little Rock, AR 72211-3552
Phone (501) 240-1167

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
04-3PARMDClinical Child & Adolescent Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Doray Psychological Services, PLLC Clinical Child & Adolescent Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236038400000",
    "number": "1720178395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 FINANCIAL CENTRE PKWY",
            "address_2": "SUITE 490",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113552",
            "telephone_number": "501-240-1167",
            "fax_number": "501-228-8189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10800 FINANCIAL CENTRE PKWY",
            "address_2": "SUITE 490",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113552",
            "telephone_number": "501-240-1167",
            "fax_number": "501-228-8189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORAY",
        "first_name": "DAWN",
        "middle_name": "PHELPS",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2009-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "AR",
            "license": "04-3P",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AR",
            "license": "04-3P",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 3, 2009; 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.