Psychiatric Services, Inc

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

E 1039 Issued in AR

Legal business name

PSYCHIATRIC SERVICES, INC

Practice address

5208 Kavanaugh Blvd
Suite 4
Little Rock, AR 72207-4609

Phone

(501) 614-7712

Fax

(501) 614-7708

NPI assigned

Oct 6, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Lynn C Thomas, M.D.

Title

Psychiatrist

Phone

(501) 614-7712

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831187566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5208 KAVANAUGH BLVD",
            "address_2": "SUITE 4",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722074609",
            "telephone_number": "501-614-7712",
            "fax_number": "501-614-7708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5208 KAVANAUGH BLVD",
            "address_2": "SUITE 4",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722074609",
            "telephone_number": "501-614-7712",
            "fax_number": "501-614-7708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRIC SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "501-614-7712",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "AR",
            "license": "E 1039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cognitive & Behavioral Psychologist in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Cognitive & Behavioral Psychologist in Arkansas

• 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.