Small Group Therapy, Inc.

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

0000 Issued in AR

Legal business name

SMALL GROUP THERAPY, INC.

Doing business as

Fairweather Manor

Practice address

320 Whittington Avenue
Hot Springs, AR 71901

Phone

(501) 623-3477

Fax

(501) 624-7498

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Wanda Raper

Title

Chief Executive Officer

Phone

(501) 623-3477

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Fairweather Manor Doing business as

Tax ID family

Fairweather Communities3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Small Group Therapy, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Hot Springs, AR
  • NPI 1255545729
  NPD tax ID
• Small Group Therapy, Inc.

  • Community/Behavioral Health Agency
  • Hot Springs, AR
  • NPI 1972793081
  NPD tax ID

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1821210386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 WHITTINGTON AVENUE",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719013407",
            "telephone_number": "501-623-3477",
            "fax_number": "501-624-7498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 WHITTINGTON AVENUE",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "71901",
            "telephone_number": "501-623-3477",
            "fax_number": "501-624-7498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMALL GROUP THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "RAPER",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "501-623-3477"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "AR",
            "license": "0000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130817732",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairweather Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gregory S Slagle, MD
• Elizabeth Anne Slatton, LCSW
• David R Slay, MD
• Small Group Therapy, Inc.
• Small Group Therapy, Inc.
• Small Group Therapy, Inc.
• Mariah Elizabeth Small-O'Sullivan, M.D.
• Sara Catherine Small, LPC
• Kristi Smallwood
• Smith Drug and Compounding Inc

• Mental Illness Community Based Residential Treatment Facility in Hot Springs, AR
• Providers in Hot Springs, AR by specialty
• Mental Illness Community Based Residential Treatment Facility in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.