Organization Active NPI

Hillcrest Center for Emotional Wellbeing

  • Psychiatry Physician
  • Little Rock, AR
National Provider Identifier
1972832905
Registry record updated Dec 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
HILLCREST CENTER FOR EMOTIONAL WELLBEING
Practice address
2701 Kavanaugh Blvd Ste 209
Little Rock, AR 72205-3872
Phone
(501) 551-1545
NPI assigned
Dec 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2009

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

Authorized official

Name
David Streett, MD
Title
General Manager
Phone
(501) 551-1545

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

2701 Kavanaugh Blvd Ste 209
Little Rock, AR 72205-3872

Mailing address

2701 Kavanaugh Blvd Ste 209
Little Rock, AR 72205-3872
Phone (501) 551-1545

National Provider Directory

National Provider Directory

Locations

2701 Kavanaugh Blvd
Ste 209
Little Rock, AR 72205
Phone (501) 664-4900

NPI Registry JSON

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

{
    "created_epoch": "1261440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261440000000",
    "number": "1972832905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 KAVANAUGH BLVD STE 209",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722053872",
            "telephone_number": "501-551-1545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 KAVANAUGH BLVD STE 209",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722053872",
            "telephone_number": "501-551-1545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLCREST CENTER FOR EMOTIONAL WELLBEING",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-22",
        "last_updated": "2009-12-22",
        "status": "A",
        "authorized_official_last_name": "STREETT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "501-551-1545",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; 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.