Active NPI
S.a.F.E. Haven, Inc.
- Clinical Psychologist
- Fort Smith, AR
National Provider Identifier
1790893246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 97-16P
- Legal business name
- S.A.F.E. HAVEN, INC.
- Practice address
- 2300 S 57TH St
Suite 9a
Fort Smith, AR 72903-3808 - Phone
- (479) 478-6040
- Fax
- (479) 478-6140
- NPI assigned
- Aug 25, 2006
- Last updated
- Aug 22, 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
- Dr. Nancy Cherylin Powell, PSY.D.
- Title
- Cllinical Psychologist
- Phone
- (479) 478-6040
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 97-16P | AR | Primary |
Addresses
Primary practice location
2300 S 57TH St
Suite 9a
Fort Smith, AR 72903-3808
Mailing address
2300 S 57TH St
Suite 9a
Fort Smith, AR 72903-3808
Phone (479) 478-6040
National Provider Directory
National Provider DirectoryLocations
2300 S 57th St
Ste 9A
Fort Smith, AR 72903
Phone (479) 478-6040
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1790893246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 S 57TH ST",
"address_2": "SUITE 9A",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729033808",
"telephone_number": "479-478-6040",
"fax_number": "479-478-6140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 S 57TH ST",
"address_2": "SUITE 9A",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729033808",
"telephone_number": "479-478-6040",
"fax_number": "479-478-6140"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "S.A.F.E. HAVEN, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-25",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "POWELL",
"authorized_official_first_name": "NANCY",
"authorized_official_middle_name": "CHERYLIN",
"authorized_official_title_or_position": "CLLINICAL PSYCHOLOGIST",
"authorized_official_telephone_number": "479-478-6040",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "AR",
"license": "97-16P",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Smith, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.