Individual provider Active NPI

Martha Stroh, PSY.D.

  • Clinical Psychologist
  • North Little Rock, AR
National Provider Identifier
1912217449
Registry record updated Feb 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
10-24P Issued in AR
Practice address
4354 Stockton Dr
North Little Rock, AR 72117-2917
Phone
(501) 955-7600
NPI assigned
Oct 18, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 10-24P AR Primary

Addresses

Primary practice location

4354 Stockton Dr
North Little Rock, AR 72117-2917

Mailing address

3601 Richards Rd
North Little Rock, AR 72117-2954
Phone (501) 221-1853

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110322000016 AR Practitioner - Clinical Psychologist 3779766282 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Professional Counseling Associates IncGroup PAC ID 0941103477, 11 clinicians

Practice addresses (Care Compare)

4354 Stockton Dr
North Little Rock, AR 72117-2917
Phone (501) 955-7600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Counseling Associates Inc. CurrentSince Jan 31, 2011 Accepting new patients
Professional Counseling Associates Inc. PastSince May 31, 2020 Accepting new patients

Locations

201 W 2nd St
Lonoke, AR 72086
Phone (501) 676-3151

3601 Richards Rd
North Little Rock, AR 72117
Phone (501) 221-1843

4354 Stockton Dr
North Little Rock, AR 72117
Phone (501) 221-1843

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": "1287360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296604800000",
    "number": "1912217449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 RICHARDS RD",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721172954",
            "telephone_number": "501-221-1853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4354 STOCKTON DR",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721172917",
            "telephone_number": "501-955-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROH",
        "first_name": "MARTHA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-18",
        "last_updated": "2011-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AR",
            "license": "10-24P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

Verify at the official NPI Registry.