Organization Active NPI

Comprehensive Health Psychology & Testing

  • Psychologist
  • Maumelle, AR
National Provider Identifier
1760087902
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
COMPREHENSIVE HEALTH PSYCHOLOGY & TESTING
Practice address
3101 Club Manor Dr Ste a
Maumelle, AR 72113-6088
Phone
(501) 271-8121
Fax
(866) 573-0780
NPI assigned
Dec 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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

Authorized official

Name
Dr. Marian L. Smith, PH.D.NPI 1548497100
Title
Psychologist
Phone
(501) 271-8121

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

3101 Club Manor Dr Ste a
Maumelle, AR 72113-6088

Mailing address

3101 Club Manor Dr Ste a
Maumelle, AR 72113-6088
Phone (501) 271-8121

Other names 1

  • Comprehensive Health Psychology & Testing, LLC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201215000237 AR Part B Supplier - Clinic/Group Practice 0446662548 Receives reassigned benefits from 1 practitioner
Practice locations: Maumelle, AR

National Provider Directory

National Provider Directory

Locations

127 Audubon Dr
Ste C
Maumelle, AR 72113

3101 Club Manor Dr
Ste A
Maumelle, AR 72113
Phone (501) 271-8121

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1607040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676419200000",
    "number": "1760087902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 CLUB MANOR DR STE A",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721136088",
            "telephone_number": "501-271-8121",
            "fax_number": "866-573-0780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 CLUB MANOR DR STE A",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721136088",
            "telephone_number": "501-271-8121",
            "fax_number": "866-573-0780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE HEALTH PSYCHOLOGY & TESTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-04",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MARIAN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "501-271-8121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comprehensive Health Psychology & Testing, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Maumelle, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.