ELLEN MANEGOLD


Address: 1301 Wolfe St, Little Rock, AR 72202-5320
Phone: 5013644993

ELLEN MANEGOLD (NPI# 1194376053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194376053
Entity Type Individual
Full Name ELLEN MANEGOLD
Credential PHD
Practice Address 1301 Wolfe St
Little Rock
AR 72202-5320
Mailing Address 1 Childrens Way # 512-21
Little Rock
AR 72202-3500
Practice Telephone 5013644993
Enumeration Date 2019-09-23
Last Update Date 2019-09-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 19-20AP-PL AR Behavioral Health & Social Service Providers

Office Location

Street Address 1301 WOLFE ST
City LITTLE ROCK
State AR
Zip Code 72202-5320

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235230756 Patricia Dopler Braswell Nurse Practitioner 1301 Wolfe St, Little Rock, AR 72202-5320 2006-09-26
1780086132 Lindsay D. Van Parys Nurse Practitioner 1301 Wolfe St, Little Rock, AR 72202-5320 2014-09-17
1104226471 Univ of Ar for Medical Sciences Clinic/Center 1301 Wolfe St, Little Rock, AR 72202-5320 2014-08-24
1093137119 Matthew R Mceuen Social Worker 1301 Wolfe St, Little Rock, AR 72202-5320 2014-01-08
1417388604 Erica Lambert Speech-Language Pathologist 1301 Wolfe St, Little Rock, AR 72202-5320 2013-12-12
1427496132 Whitney E Taylor Nurse Practitioner 1301 Wolfe St, Little Rock, AR 72202-5320 2013-06-05
1467746339 Paulette Ann Wong Wy Pediatrics 1301 Wolfe St, Little Rock, AR 72202-5320 2011-06-08
1629204953 Kathy Webb Kordsmeier Specialist 1301 Wolfe St, Little Rock, AR 72202-5320 2009-06-01
1427141985 Ericka N Mays Psychologist 1301 Wolfe St, Little Rock, AR 72202-5320 2006-10-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972116481 Kendra Kay Romig Physical Therapist 1617 Brookwood Dr, Little Rock, AR 72202 2020-08-25
1467071845 Allison Morton Student in an Organized Health Care Education/Training Program 1 Children's Way, Slot 589, Little Rock, AR 72202 2020-04-15
1568091593 Hannah Elisabeth Smashey Lewis Student in an Organized Health Care Education/Training Program 1 Children's Way, Slot: Ach 512-15, Little Rock, AR 72202 2020-04-02
1922569003 Lily Suh Student in an Organized Health Care Education/Training Program 1 Children's Way, Slot 512-19a, Little Rock, AR 72202 2019-03-29
1629563374 Heidi Marie Lightle Audiologist 1900 Maryland Street, Slot 113 Ach-audiology, Little Rock, AR 72202 2018-06-26
1053817916 Daniel Harper Student in an Organized Health Care Education/Training Program 1 Children's Way, Slot 556, Little Rock, AR 72202 2018-03-31
1003320185 Uday Kumar Chalwadi Student in an Organized Health Care Education/Training Program #1 Childrens Way, Slot Ach 512-17, Little Rock, AR 72202 2017-11-28
1770010209 Auston Wilis Counselor 1707 W 12th St Ste 201, Little Rock, AR 72202 2017-05-15
1518499888 Patrick Ayers Student in an Organized Health Care Education/Training Program #1 Childrens Way, Slot Ach 512-19a, Little Rock, AR 72202 2017-03-28
1508213497 The Learning Curve Lactation Support LLC Durable Medical Equipment & Medical Supplies 1301 S. Louisiana St. Apt. 106, Little Rock, AR 72202 2016-05-20
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770078750 Sarah Henderson Psychologist 10802 Executive Center Dr Ste 100, Little Rock, AR 72211-4377 2018-06-22
1316498744 Morais Consulting, Pllc Psychologist 2723 Foxcroft Rd Ste 202f, Little Rock, AR 72227-6522 2016-10-20
1649632407 Caren R Moore Psychologist 2020 W 3rd St Ste 609, Little Rock, AR 72205-4467 2016-03-22
1548647381 Melissa Jean Zielinski Psychologist 4301 W Markham St, Slot 589, Little Rock, AR 72205 2015-04-30
1548677693 Rachel Allen Psychologist 11219 Financial Centre Pkwy Ste 310, Little Rock, AR 72211-3868 2014-07-21
1487965521 Jennifer Renae Downey Psychologist 15 Childrens Way, Little Rock, AR 72202-3500 2010-06-23
1386874733 Nina Floyd Psychologist 6020 Ranch Dr Ste 3, Little Rock, AR 72223-4621 2009-07-20
1922237437 J Michael Wood Jr. Psychologist 8306 Reymere Drive, Little Rock, AR 72227 2009-07-06
1760626840 Taisha M Jones Psychologist 305 S. Palm Street, Arkansas State Hospital, Little Rock, AR 72205 2009-04-21
1659439925 Psychiatric Associates of Arkansas Pllc Psychologist 9601 Baptist Health Dr Ste 1050, Little Rock, AR 72205-6379 2006-12-05
Find all providers in LITTLE ROCK

Competitor

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City LITTLE ROCK
Zip Code 72202

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Dataset Information

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.

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