| Psychiatric Associates Of Arkansas Pllc | |
|
9601 Baptist Health Dr Ste 1050 Little Rock AR 72205-6379 | |
| (501) 228-7400 | |
| (501) 537-7412 |
| Full Name | Psychiatric Associates Of Arkansas Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 9601 Baptist Health Dr Ste 1050, Little Rock, Arkansas |
| Authorized Official Name and Position | Sunni D Throgmorton (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 5012287400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychiatric Associates Of Arkansas Pllc 9601 Baptist Health Dr Ste 1050 Little Rock AR 72205-6379 Ph: (501) 228-7400 | Psychiatric Associates Of Arkansas Pllc 9601 Baptist Health Dr Ste 1050 Little Rock AR 72205-6379 Ph: (501) 228-7400 |
| NPI Number | 1659439925 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 11/20/2019 |
| Medicare PECOS PAC ID | 0042209736 |
|---|---|
| Medicare Enrollment ID | O20040507001317 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659439925 | NPI | - | NPPES |
| 133291002 | Medicaid | AR | |
| 57031 | Other | AR | BLUECROSS AND BLUESHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (Arkansas) | Secondary |
| 1041C0700X | Social Worker - Clinical | (Arkansas) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (Arkansas) | Primary |
| Provider Name | Marcela V Johnston |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871541359 PECOS PAC ID: 0941284962 Enrollment ID: I20040616001519 |
| Provider Name | Philip L Mizell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174548366 PECOS PAC ID: 4981891009 Enrollment ID: I20101215000021 |
| Provider Name | Richard A Owings |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114085537 PECOS PAC ID: 0648459271 Enrollment ID: I20110217000384 |
| Provider Name | Duong H Nguyen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366500795 PECOS PAC ID: 8820277460 Enrollment ID: I20110308000415 |
| Provider Name | Rebecca Lynn Burke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982031514 PECOS PAC ID: 7416266069 Enrollment ID: I20151021001548 |
| Provider Name | David A Steinfeld |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043790611 PECOS PAC ID: 3476804568 Enrollment ID: I20181001000075 |
| Provider Name | Christopher D Milstead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932216090 PECOS PAC ID: 7315337789 Enrollment ID: I20211130000807 |
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