Organization Active NPI

Integrated Neuropsychological Services, LLC

  • Clinical Neuropsychologist
  • Fayetteville, AR
National Provider Identifier
1942746102
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
Legal business name
INTEGRATED NEUROPSYCHOLOGICAL SERVICES, LLC
Practice address
322 W Meadow St
Fayetteville, AR 72701-5151
Phone
(479) 435-6360
Fax
(479) 435-6028
NPI assigned
Jan 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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

Authorized official

Name
Dr. Anne Stevens, PHD
Title
Physician
Phone
(479) 435-6360

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103G00000X Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 5896C AR
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 7256C AR

Addresses

Primary practice location

322 W Meadow St
Fayetteville, AR 72701-5151

Mailing address

322 W Meadow St
Fayetteville, AR 72701-5151
Phone (479) 435-6360

Other practice location 1

86 W Sunbridge Dr
Fayetteville, AR 72703-1822
Phone (479) 435-6360

Other practice location 2

206 SW 8th St Ste 12
Bentonville, AR 72712-7869
Phone (479) 435-6360

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1484179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728000000000",
    "number": "1942746102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 W MEADOW ST",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727015151",
            "telephone_number": "479-435-6360",
            "fax_number": "479-435-6028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 W MEADOW ST",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727015151",
            "telephone_number": "479-435-6360",
            "fax_number": "479-435-6028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "86 W Sunbridge Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "AR",
            "postal_code": "727031822",
            "country_code": "US",
            "telephone_number": "479-435-6360",
            "fax_number": "479-435-6028",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "206 SW 8th St Ste 12",
            "address_purpose": "LOCATION",
            "city": "Bentonville",
            "state": "AR",
            "postal_code": "727127869",
            "country_code": "US",
            "telephone_number": "479-435-6360",
            "fax_number": "479-435-6028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INTEGRATED NEUROPSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-12",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "479-435-6360",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "5896C",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "7256C",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; 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.