Active NPI
Benjamin T. Nimmo, M.D.
- Child & Adolescent Psychiatry Physician
- Little Rock, AR
National Provider Identifier
1730299702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- E-3177
- Practice address
- 11501 Financial Centre Pkwy
Little Rock, AR 72211-3715 - Phone
- (501) 223-3322
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | E-3177 | AR | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | E-3177 | AR | Primary |
Addresses
Primary practice location
11501 Financial Centre Pkwy
Little Rock, AR 72211-3715
Mailing address
11501 Financial Centre Pkwy
Little Rock, AR 72211-3715
Phone (501) 223-3322
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 146296001 | Medicaid | AR | |
| 71-0401764 | Other | AR | CORPHEALTH |
| 00000H56357 | Other | AR | UNITY MANAGED MENTAL HLTH |
| 05070022703 | Other | AR | QUAL-CHOICE |
| 5M158 | Other | AR | BLUE CROSS & BLUE SHIELD |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-3177 | AR | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BHC Pinnacle Pointe Hospital, Inc. | Past | Accepting new patients | |
| BHC Pinnacle Pointe Hospital LLC | Past | Accepting new patients | |
| BHC Pinnacle Pointe Hospital, Inc. | Past | Accepting new patients | |
| Nimmo Psychiatric Services, Inc. | Psychiatry | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Psychiatry Physician
- Little Rock, AR
- NPI 1851576185
-
- Psychiatric Hospital
- Little Rock, AR
- NPI 1912962341
-
- Adolescent and Children Mental Health Clinic/Center
- Little Rock, AR
- NPI 1477825180
-
- Adolescent and Children Mental Health Clinic/Center
- White Hall, AR
- NPI 1649542366
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468886400000",
"number": "1730299702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11501 FINANCIAL CENTRE PKWY",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722113715",
"telephone_number": "501-223-3322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11501 FINANCIAL CENTRE PKWY",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722113715",
"telephone_number": "501-223-3322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIMMO",
"first_name": "BENJAMIN",
"middle_name": "T.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2016-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AR",
"license": "E-3177",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "AR",
"license": "E-3177",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "146296001",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CORPHEALTH",
"identifier": "71-0401764",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITY MANAGED MENTAL HLTH",
"identifier": "00000H56357",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QUAL-CHOICE",
"identifier": "05070022703",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "5M158",
"state": "AR"
}
],
"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 Jul 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.