Individual provider Active NPI

Caiti Nicole Pahls, D.O.

  • Forensic Psychiatry Physician
  • Little Rock, AR
National Provider Identifier
1790216299
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic Psychiatry PhysicianTaxonomy code 2084F0202X
License
E-12933 Issued in AR
Practice address
4301 W Markham St
Mail Slot 589
Little Rock, AR 72205-7101
Phone
(501) 526-8148
Fax
(501) 526-8198
NPI assigned
Mar 25, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychiatry Physician 2084F0202X 34.014932 OH
Forensic Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084F0202X E-12933 AR Primary

Addresses

Primary practice location

4301 W Markham St
Mail Slot 589
Little Rock, AR 72205-7101

Mailing address

4301 W Markham St
Mail Slot 589
Little Rock, AR 72205-7101
Phone (501) 526-8148

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220822000457 AR Practitioner - Psychiatry 8628347861 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State of ArkansasGroup PAC ID 6507863958, 18 clinicians

Practice addresses (Care Compare)

305 S Palm St
Little Rock, AR 72205-5432
Phone (501) 686-9585

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
E-12933ARMDForensic Psychiatry Physician
34.014932OHMDForensic Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Arkansas CurrentSince Jul 18, 2022 Accepting new patients
State of Arkansas Single Specialty CurrentSince Jul 18, 2022 Accepting new patients

Locations

305 S Palm St
Little Rock, AR 72205
Phone (501) 686-9000

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1490400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1790216299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 W MARKHAM ST",
            "address_2": "MAIL SLOT 589",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722057101",
            "telephone_number": "501-526-8148",
            "fax_number": "501-526-8198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 W MARKHAM ST",
            "address_2": "MAIL SLOT 589",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722057101",
            "telephone_number": "501-526-8148",
            "fax_number": "501-526-8198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAHLS",
        "first_name": "CAITI",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-25",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "OH",
            "license": "34.014932",
            "primary": false
        },
        {
            "code": "2084F0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "AR",
            "license": "E-12933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.