| Integrated Psych Solutions Inc | |
|
218 N Mckinley St Little Rock AR 72205-3120 | |
| (501) 615-8838 | |
| (425) 660-3207 |
| Full Name | Integrated Psych Solutions Inc |
|---|---|
| Speciality | Psychologist |
| Location | 218 N Mckinley St, Little Rock, Arkansas |
| Authorized Official Name and Position | Jennifer Anderson (CEO) |
| Authorized Official Contact | 5016158838 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Psych Solutions Inc 218 N Mckinley St Little Rock AR 72205-3120 Ph: (501) 615-8838 | Integrated Psych Solutions Inc 218 N Mckinley St Little Rock AR 72205-3120 Ph: (501) 615-8838 |
| NPI Number | 1548894371 |
|---|---|
| Provider Enumeration Date | 03/02/2020 |
| Last Update Date | 04/15/2024 |
| Certification Date | 01/18/2023 |
| Medicare PECOS PAC ID | 9830510973 |
|---|---|
| Medicare Enrollment ID | O20200528001411 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548894371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Brian Christopher Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134468895 PECOS PAC ID: 0547542599 Enrollment ID: I20180112000030 |
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