DR. GREGORY STEPHEN KACZENSKI (NPI# 1073661310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073661310 |
| Entity Type | Individual |
| Full Name | DR. GREGORY STEPHEN KACZENSKI |
| Credential | M.D. |
| Practice Address |
801 Scott St Little Rock AR 72201-4613 |
| Mailing Address |
1433 Kavanaugh Blvd Little Rock AR 72205-4323 |
| Practice Telephone | 5012217238 |
| Practice Fax Number | 5012217239 |
| Mailing Telephone | 5012217238 |
| Mailing Fax Number | 5012217239 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2008-03-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | C-5000 | AR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 104751001 | 05 |
| Street Address |
801 SCOTT ST |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72201-4613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760616791 | Psychiatric Institute of Arkansas Plc | Specialist | 801 Scott St, Little Rock, AR 72201-4613 | 2009-05-05 |
| 1790928539 | Network of Wellness, LLC | Community/Behavioral Health | 801 Scott St, Little Rock, AR 72201-4613 | 2009-04-09 |
| 1851576185 | Nimmo Psychiatric Services, Inc. | Psychiatry & Neurology | 801 Scott St, Little Rock, AR 72201-4613 | 2008-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427612209 | Hagood Holdings, LLC | In Home Supportive Care | 922 W. 6th Street, Little Rock, AR 72201 | 2019-04-26 |
| 1891045464 | Nathan James Winter | Occupational Therapist | 26 Corporate Hill Dr., Little Rock, AR 72201 | 2012-09-11 |
| 1154627941 | Clement Wade Fox | Internal Medicine | 320 W. Capitol, Little Rock, AR 72201 | 2011-01-27 |
| 1245462514 | Consevella A James | Social Worker | 700 West 4th Street, Treatment Homes, Inc., Little Rock, AR 72201 | 2009-08-20 |
| 1174775688 | Martha Ann Nixon | Physical Therapist | 801 W. Markham, Little Rock, AR 72201 | 2008-10-15 |
| 1144478256 | Christy Denise Allen | Local Education Agency (LEA) | 810 W Markham, Little Rock, AR 72201 | 2008-09-03 |
| 1437370467 | Donald Paul Brady | Psychiatry & Neurology | 430 W 7th St, Little Rock, AR 72201 | 2007-05-01 |
| 1396863700 | Eugene Robert Gerst Jr. | Counselor | 820 W 6th Street, Ste 200, Little Rock, AR 72201 | 2007-03-26 |
| 1194841783 | The Care Center, Inc | Counselor | 820 W6th St, Ste 200, Little Rock, AR 72201 | 2007-03-22 |
| 1992821508 | Rellia Ann Dillinger | Counselor | 820 W 6th St, Ste 200, Little Rock, AR 72201 | 2007-03-22 |
| Find all providers in zip 72201 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033510037 | Seth T Sorensen | Clinical Neuropsychologist | 1 Childrens Way # 512-21, Little Rock, AR 72202 | 2014-09-09 |
| 1225367725 | Elizabeth Speck-kern | Clinical Neuropsychologist | 3 Innwood Cr., Ste 111, Little Rock, AR 72211 | 2009-12-11 |
| 1477785822 | Andrews Neuropsychology Consulting, Pplc | Clinical Neuropsychologist | 1701 Centerview Dr Ste 123, Little Rock, AR 72211-4311 | 2009-08-19 |
| 1851501803 | Garrett Andrews | Clinical Neuropsychologist | 2400 Riverfront Dr, Apt. 1437, Little Rock, AR 72202-2208 | 2007-05-22 |
| 1033285150 | William Austin Cochran IIi | Clinical Neuropsychologist | 287 Valley Club Cir, Little Rock, AR 72212-2934 | 2006-11-28 |
| 1740392919 | Jennifer Lewis Gess | Clinical Neuropsychologist | 4301 W Markham St # 554, Little Rock, AR 72205-7101 | 2006-08-31 |
| 1073581468 | Gary T. Souheaver | Clinical Neuropsychologist | 6 Margeaux Ct, Little Rock, AR 72223-9193 | 2006-03-10 |
| 1154304665 | James R Moneypenny | Clinical Neuropsychologist | 8500 W Markham St, Ste 305, Little Rock, AR 72205-2453 | 2005-11-29 |
| 1043218472 | Michael Gerard Hazlewood | Clinical Neuropsychologist | 60 Woodlore Cir, Little Rock, AR 72211-2354 | 2005-07-10 |
| 1962405563 | Jody Lynn Hagen | Clinical Neuropsychologist | 10515 W Markham St, Suite B1, Little Rock, AR 72205-2139 | 2005-05-27 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72201 |
Please comment or provide details below to improve the information on DR. GREGORY STEPHEN KACZENSKI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.