Active NPI
Neurology Psychiatry and Sleep Disorder Clinic PLLC
- Psychiatry Physician
- Crossett, AR
National Provider Identifier
1760092142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- NEUROLOGY PSYCHIATRY AND SLEEP DISORDER CLINIC PLLC
- Practice address
- 615 W 1St Ave
Crossett, AR 71635-2703 - Phone
- (870) 918-7399
- NPI assigned
- Jul 31, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shirley Anne Walker
- Title
- Billing Manager
- Phone
- (501) 223-2776
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
615 W 1St Ave
Crossett, AR 71635-2703
Mailing address
2508 Sam School Rd
Southlake, TX 76092-1492
Phone (870) 918-7399
Other practice location 1
2508 Sam School Rd
Southlake, TX 76092-1492
Phone (870) 918-7399
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Southlake, TX
- NPI 1902878473
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596153600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1596153600000",
"number": "1760092142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2508 SAM SCHOOL RD",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760921492",
"telephone_number": "870-918-7399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 W 1ST AVE",
"city": "CROSSETT",
"state": "AR",
"postal_code": "716352703",
"telephone_number": "870-918-7399"
}
],
"practiceLocations": [
{
"address_1": "2508 Sam School Rd",
"address_purpose": "LOCATION",
"city": "Southlake",
"state": "TX",
"postal_code": "760921492",
"country_code": "US",
"telephone_number": "870-918-7399",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NEUROLOGY PSYCHIATRY AND SLEEP DISORDER CLINIC PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-31",
"last_updated": "2020-07-31",
"certification_date": "2020-07-31",
"status": "A",
"authorized_official_last_name": "WALKER",
"authorized_official_first_name": "SHIRLEY",
"authorized_official_middle_name": "ANNE",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "501-223-2776"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crossett, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.