Individual provider Active NPI

Cara R. Hartfield, PHD

  • Clinical Psychologist
  • Fayetteville, AR
National Provider Identifier
1922004787
Registry record updated Dec 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
06-15 P Issued in AR
Practice address
112 W Center St
Suite 215
Fayetteville, AR 72701-6034
Phone
(479) 409-2212
Fax
(479) 439-8550
NPI assigned
Jun 24, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2001024792 MO
Clinical Psychologist 103TC0700X 06-15 P AR Primary

Addresses

Primary practice location

112 W Center St
Suite 215
Fayetteville, AR 72701-6034

Mailing address

112 W Center St
Suite 215
Fayetteville, AR 72701-6034
Phone (479) 409-2212

Other identifiers 1

IdentifierTypeStateIssuer
495445603MedicaidMO

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
I20091103000179 AR Practitioner - Clinical Psychologist 6709951965 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

100 W Ctr St
Suite 203
Fayetteville, AR 72701-6081
Phone (479) 409-2212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
06-15 PARMDClinical Psychologist
2001024792MOMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cara Hartfield PHD Licensed Psychologist PLC Clinical CurrentSince Dec 1, 2009 Accepting new patients
NW Arkansas Psychological Group Inc Clinical Past Accepting new patients

Locations

100 W Center St
Ste 203
Fayetteville, AR 72701
Phone (479) 348-4221

112 W Center St
Ste 215
Fayetteville, AR 72701
Phone (479) 409-2212

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": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259884800000",
    "number": "1922004787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 W CENTER ST",
            "address_2": "SUITE 215",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727016034",
            "telephone_number": "479-409-2212",
            "fax_number": "479-439-8550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W CENTER ST",
            "address_2": "SUITE 215",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727016034",
            "telephone_number": "479-409-2212",
            "fax_number": "479-439-8550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTFIELD",
        "first_name": "CARA",
        "middle_name": "R.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-24",
        "last_updated": "2009-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2001024792",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AR",
            "license": "06-15 P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "495445603",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

Verify at the official NPI Registry.