DR. GRAHAM MACK REID (NPI# 1548230550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548230550 |
| Entity Type | Individual |
| Full Name | DR. GRAHAM MACK REID |
| Credential | M.D. |
| Practice Address |
10816 Executive Center Dr Suite 101 Little Rock AR 72211-4384 |
| Practice Telephone | 5012213331 |
| Practice Fax Number | 5012213339 |
| Mailing Telephone | 5012213331 |
| Mailing Fax Number | 5012213339 |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2009-11-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
C-5446 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 105171001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972126274 | Graham Kiyoshi Reid | Psychiatry & Neurology | 30 E Apple St Ste 6257, Dayton, OH 45409-2939 | 2020-05-20 |
| Street Address |
10816 EXECUTIVE CENTER DR SUITE 101 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72211-4384 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174974554 | Jamie Collins | Pharmacist | 10816 Executive Center Dr, Suite 301, Little Rock, AR 72211-4354 | 2016-06-27 |
| 1013322551 | Taylor Ashley Hamilton | Pharmacist | 10816 Executive Center Dr, Suite 301, Little Rock, AR 72211-4354 | 2014-06-24 |
| 1184037087 | Sarah Dinsmore | Pharmacist | 10816 Executive Center Dr, Little Rock, AR 72211-4354 | 2014-06-09 |
| 1497863674 | Graham M Reid Md Pa | Psychiatry & Neurology | 10816 Executive Center Dr, #101, Little Rock, AR 72211-4354 | 2006-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760004618 | Samantha Lenore Hilborn | Behavior Technician | 1525 Merrill Drive Suite 100, Little Rock, AR 72211 | 2020-05-14 |
| 1003437740 | Centers for Youth and Families, Inc. | Community/Behavioral Health | 1521 Merrill Drive, Suite D220 and E200, Little Rock, AR 72211 | 2020-05-05 |
| 1962040568 | Erica N Taylor | Nurse Practitioner | 11800 Financial Center Parkway, Ste 290, Little Rock, AR 72211 | 2019-12-13 |
| 1568932119 | Katie Jones | Nurse Practitioner | 1children's Way, Little Rock, AR 72211 | 2018-11-27 |
| 1356828651 | Kayleigh King | Dietitian, Registered | 4 Shackleford Plz Ste 209, Little Rock, AR 72211 | 2018-07-19 |
| 1699283838 | Kara Elizabeth Simmons | Physician Assistant | 11215 Hermitage Rd Ste 103, Little Rock, AR 72211 | 2018-01-22 |
| 1194241463 | Wendy Newsam Pllc | Counselor | 1 Innwood Circle, Suite 107, Little Rock, AR 72211 | 2017-08-18 |
| 1861915159 | Sarah Renee Beall | Counselor | 10800 Financial Centre #290, Little Rock, AR 72211 | 2017-07-19 |
| 1457873127 | Restore Hope Counseling Center, Pllc | Counselor | One Innwood Circle, Suite 201, Little Rock, AR 72211 | 2017-07-13 |
| 1447707500 | University of Arkansas for Medical Sciences | Durable Medical Equipment & Medical Supplies | 601 Autumn Road, Little Rock, AR 72211 | 2016-09-07 |
| Find all providers in zip 72211 | ||||
| Taxonomy Code | 2084P0805X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Geriatric Psychiatry |
| Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083932362 | Margaret Amanda Ege-woolley | Psychiatry & Neurology | 4301 W Markham St, Mail Slot 552, Little Rock, AR 72205-7101 | 2010-05-11 |
| 1154411627 | Lou Eads | Psychiatry & Neurology | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811170301 | Annette N. Anderson | Psychiatry & Neurology | 495 Hogan Ln Ste 2, Conway, AR 72034-8498 | 2007-12-07 |
| 1184674962 | Michael G Hollomon | Psychiatry & Neurology | 601 W Maple, Suite 403, Springdale, AR 72764-5374 | 2006-05-11 |
| 1902856867 | Gary A Linker | Psychiatry & Neurology | 12 E Appleby, Suite 101, Fayetteville, AR 72703 | 2006-05-11 |
| 1306843396 | William Martin Meaney | Psychiatry & Neurology | 907 Mena St, Mena, AR 71953-4247 | 2005-07-05 |
| 1558667683 | Annette N. Anderson, Md, Pa | Psychiatry & Neurology | 2425 Dave Ward Dr, Suite 102, Conway, AR 72034-8686 | 2011-02-08 |
| 1174644140 | Joshua Woolley | Psychiatry & Neurology | 2200 Fort Roots Dr, Building 170 Unit 1l, North Little Rock, AR 72114-1709 | 2007-04-03 |
| 1336253533 | Monica Rohde Shotwell | Psychiatry & Neurology | 2200 Fort Roots Dr, Bldg 170, Ward 1h, North Little Rock, AR 72114-1709 | 2006-08-18 |
| 1366458044 | Dinesh Mittal | Psychiatry & Neurology | 2200 Fort Roots Dr, Building 58 (152/nlr), North Little Rock, AR 72114-1709 | 2006-08-01 |
| 1366408973 | Washington Regional Medical System | Psychiatry & Neurology | 3215 N Northhills Blvd, Washington Regional Psychiatric Clinic, Fayetteville, AR 72703-4424 | 2006-04-22 |
| City | LITTLE ROCK |
| Zip Code | 72211 |
Please comment or provide details below to improve the information on DR. GRAHAM MACK REID.
| 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.