Organization Active NPI

Neurology Psychiatry and Sleep Disorder Clinic PLLC

  • Psychiatry Physician
  • Crossett, AR
National Provider Identifier
1760092142
Registry record updated Jul 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
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

Updated by the provider on Jul 31, 2020

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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.