Organization Active NPI

Richard H Barrett, II, PLC

  • Clinical Psychologist
  • Rogers, AR
National Provider Identifier
1790107431
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
97-13P Issued in AR
Legal business name
RICHARD H BARRETT, II, PLC
Practice address
211 N 34TH St
Rogers, AR 72756-0352
Phone
(479) 561-3144
Fax
(866) 988-3317
NPI assigned
Jan 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Authorized official

Name
Amy Barrett
Title
Office Manager
Phone
(479) 561-3144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 97-13P AR Primary

Addresses

Primary practice location

211 N 34TH St
Rogers, AR 72756-0352

Mailing address

211 N 34TH St
Rogers, AR 72756-0352
Phone (479) 561-3144

Other identifiers 1

IdentifierTypeStateIssuer
1306890991OtherARNPI 1

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140127000278 AR Part B Supplier - Clinic/Group Practice 3375772163 Receives reassigned benefits from 1 practitioner
Practice locations: Rogers, AR

National Provider Directory

National Provider Directory

Locations

5601 Duncan Rd
#H
Fort Smith, AR 72903
Phone (479) 561-3144

1300 W Walnut St
Ste D
Rogers, AR 72756
Phone (479) 562-3144

Practitioners & affiliated clinicians

Practitioners 4

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": "1389744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1790107431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 N 34TH ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727560352",
            "telephone_number": "479-561-3144",
            "fax_number": "866-988-3317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 N 34TH ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727560352",
            "telephone_number": "479-561-3144",
            "fax_number": "866-988-3317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD H BARRETT, II, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-15",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "BARRETT",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "479-561-3144"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "AR",
            "license": "97-13P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI 1",
            "identifier": "1306890991",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.