Organization Active NPI

S.a.F.E. Haven, Inc.

  • Clinical Psychologist
  • Fort Smith, AR
National Provider Identifier
1790893246
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
97-16P Issued in AR
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.