TIFFANY MARIE WIERZBICKI (NPI# 1427512128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427512128 |
| Entity Type | Individual |
| Full Name | TIFFANY MARIE WIERZBICKI |
| Credential | PHD |
| Practice Address |
4004 Mccain Blvd Ste 203 North Little Rock AR 72116-8057 |
| Practice Telephone | 5018124268 |
| Mailing Telephone | 5018124268 |
| Enumeration Date | 2019-01-27 |
| Last Update Date | 2019-01-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 18-30AP-PL | AR | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1100 Bob Courtway Dr Ste 9, Conway, AR 720324767 | 5018124268 |
| Street Address |
4004 MCCAIN BLVD STE 203 |
| City | NORTH LITTLE ROCK |
| State | AR |
| Zip Code | 72116-8057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073137253 | Kimberly Ann Callaway Gentry | Psychologist | 4004 Mccain Blvd Ste 203, North Little Rock, AR 72116-8057 | 2020-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710509997 | Dickerson Family Resource Center, LLC | Counselor | 5401 John F. Kennedy Blvd, Suite I Rm 1, North Little Rock, AR 72116 | 2020-05-11 |
| 1831609262 | Bill J Carpenter Sr. | Counselor | 4700 W Commercial Dr Ste B3, North Little Rock, AR 72116 | 2017-10-12 |
| 1992257646 | Meagan Booe | Behavioral Analyst | 3812 Lakewood Valley Drive, North Little Rock, AR 72116 | 2016-10-28 |
| 1295154300 | Min-ji Lee | Family Medicine | 2504 Mccain Blvd Ste 118, North Little Rock, AR 72116 | 2014-04-16 |
| 1255603486 | Crystal N Lackey | Physical Therapist | 3801 Jfk Blvd Ste C, North Little Rock, AR 72116 | 2012-02-03 |
| 1003055724 | North Little Rock, Pllc | Chiropractor | 4614 Jfk Blvd, North Little Rock, AR 72116 | 2009-02-19 |
| 1891933826 | Jennifer Ann Freilino | Counselor | 3805 Mccain Park Dr Ste 112, North Little Rock, AR 72116 | 2009-01-29 |
| 1679729669 | Amy Marie Jones | Speech-Language Pathologist | 5901 John F Kennedy Blvd Apt 5127, North Little Rock, AR 72116 | 2008-08-11 |
| 1992970917 | Ronald F Boyles Od Pa | Eyewear Supplier (Equipment, not the service) | 2520 Crestwood Road, North Little Rock, AR 72116 | 2008-04-30 |
| 1992976377 | Kencur Inc Statco Hearing Labs | Hearing Instrument Specialist | 4000 Mccain Blvd, Suite D, North Little Rock, AR 72116 | 2008-03-13 |
| Find all providers in zip 72116 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063428365 | Geraldene E Moore | Psychologist | 3805 Mccain Park Drive, Suite 116, North Little Rock, AR 72116-7813 | 2006-07-31 |
| 1477161586 | Kaila Mitchell | Psychologist | 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 | 2020-07-15 |
| 1073137253 | Kimberly Ann Callaway Gentry | Psychologist | 4004 Mccain Blvd Ste 203, North Little Rock, AR 72116-8057 | 2020-06-03 |
| 1518512870 | Jessica S. Bryant | Psychologist | 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 | 2019-08-05 |
| 1962055731 | Jordan Chase Williams | Psychologist | 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 | 2019-07-22 |
| 1356902779 | Alexis Leshae Elmore | Psychologist | 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 | 2019-06-26 |
| 1093376881 | Arielle Rebekah Askren Marston | Psychologist | 2200 Fort Roots Dr Bldg 170, North Little Rock, AR 72114-1709 | 2019-06-24 |
| 1962993105 | Aline Elizabeth Rabalais | Psychologist | 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 | 2018-05-23 |
| 1518414010 | Jessica Domino | Psychologist | 2200 Fort Roots Dr # 116b, North Little Rock, AR 72114-1709 | 2016-09-01 |
| 1508139502 | Angela Maura Sailey | Psychologist | 4701 Fairway Ave, North Little Rock, AR 72116-8066 | 2012-02-22 |
| Find all providers in NORTH LITTLE ROCK | ||||
| City | NORTH LITTLE ROCK |
| Zip Code | 72116 |
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| 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.