PINNACLE HOUSE PSYCHOSOCIAL REHABILITATION PROGRAM (NPI# 1386880961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386880961 |
| Entity Type | Organization |
| Organization Name | PINNACLE HOUSE PSYCHOSOCIAL REHABILITATION PROGRAM |
| Practice Address |
1020 West Daisy L Gatson Bates Drive Little Rock AR 72202 |
| Mailing Address |
4400 Shuffield Dr Little Rock AR 72205 |
| Practice Telephone | 5013719058 |
| Practice Fax Number | 5016869618 |
| Mailing Telephone | 5016869300 |
| Mailing Fax Number | 5016869618 |
| Enumeration Date | 2009-01-02 |
| Last Update Date | 2009-01-02 |
| Authorized Official Name | TOM GRUNDEN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5016869300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 137440726 | 05 |
| Street Address |
1020 WEST DAISY L GATSON BATES DRIVE |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72202 |
| 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 |
| Find all providers in zip 72202 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003437740 | Centers for Youth and Families, Inc. | Community/Behavioral Health | 1521 Merrill Drive, Suite D220 and E200, Little Rock, AR 72211 | 2020-05-05 |
| 1972163434 | Baby Byrd, Pllc | Community/Behavioral Health | 10515 W Markham St Ste I2, Little Rock, AR 72205-2283 | 2019-06-17 |
| 1760982789 | Mumford and Associates, LLC | Community/Behavioral Health | 300 S Rodney Parham Rd Ste 1-270, Little Rock, AR 72205-4747 | 2018-02-16 |
| 1922534882 | Collaborative Counseling Associates, Pllc | Community/Behavioral Health | 11 Marble Ct, Little Rock, AR 72212-2116 | 2017-05-11 |
| 1356887343 | Andy | Community/Behavioral Health | 2301 Worship St, Suite 3, Little Rock, SC 29567-0092 | 2017-01-13 |
| 1649639113 | Arkansas Baptist Children's Homes | Community/Behavioral Health | 12400 Interstate 30 Ste 201, Little Rock, AR 72210-7032 | 2016-02-12 |
| 1457774762 | New Beginnings Behavioral Health | Community/Behavioral Health | 21 Meadowbrook Dr, Little Rock, AR 72205-4501 | 2014-01-23 |
| 1376894634 | Xcell Therapy Services | Community/Behavioral Health | 13701 Pleasant Forest Dr, Little Rock, AR 72212-2060 | 2012-09-27 |
| 1922323096 | New Beginnings Behavioral Health Services | Community/Behavioral Health | 1 Lile Court, Suite 200, Little Rock, AR 72205-6240 | 2010-04-01 |
| 1184860777 | Up and Up Day Treatment | Community/Behavioral Health | 3601 West Roosevelt Rd, Little Rock, AR 72204 | 2009-01-02 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72202 |
Please comment or provide details below to improve the information on PINNACLE HOUSE PSYCHOSOCIAL REHABILITATION PROGRAM.
| 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.