NPIMap

Organization Active NPI

TDS Psychiatric Services L.L.C.

  • Adult Mental Health Clinic/Center
  • Jonesboro, AR
National Provider Identifier
1992289151
Registry record updated Sep 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
TDS PSYCHIATRIC SERVICES L.L.C.
Practice address
214 E Washington Ave
Jonesboro, AR 72401-3102
Phone
(870) 378-6521
NPI assigned
Sep 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2018

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

Authorized official

Name
Tiffany Spargo
Title
Aprn
Phone
(870) 378-6521

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

214 E Washington Ave
Jonesboro, AR 72401-3102

Mailing address

78 Endicott TRL
Pocahontas, AR 72455-8624
Phone (870) 378-6521

Other names 1

  • Tiffany Spargo, APRN Other name

National Provider Directory

National Provider Directory

Locations

214 E Washington Ave
Jonesboro, AR 72401
Phone (870) 378-6521

1905 Chateau Blvd
Paragould, AR 72450
Phone (870) 236-2265

Practitioners & affiliated clinicians

Practitioners 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1537660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537660800000",
    "number": "1992289151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 ENDICOTT TRL",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "724558624",
            "telephone_number": "870-378-6521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 E WASHINGTON AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013102",
            "telephone_number": "870-378-6521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TDS PSYCHIATRIC SERVICES L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-23",
        "last_updated": "2018-09-23",
        "status": "A",
        "authorized_official_last_name": "SPARGO",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "870-378-6521"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tiffany Spargo, APRN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2018; 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.