MELLANY K FLYNN (NPI# 1548350457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548350457 |
| Entity Type | Individual |
| Full Name | MELLANY K FLYNN |
| Credential | PSYD |
| Practice Address |
4 Executive Center Ct Little Rock AR 72211 |
| Mailing Address |
4 Executive Center Ct Little Rock AR 72211-4487 |
| Practice Telephone | 5014480060 |
| Practice Fax Number | 5014480066 |
| Mailing Telephone | 5014480060 |
| Mailing Fax Number | 5014480066 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2019-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
05-17P | AR | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4354 Stockton Dr, North Little Rock, AR 721172917 | 5019557600 | 5019557612 |
| Street Address |
4 EXECUTIVE CENTER CT |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205804481 | Arkansas Psychiatric Clinic, Professional Association | Psychiatry & Neurology | 4 Executive Center Ct, Little Rock, AR 72211-4487 | 2006-03-14 |
| 1942718879 | Terri Diane Richardson | Nurse Practitioner | 4 Executive Center Ct, Little Rock, AR 72211-4487 | 2018-01-12 |
| 1184133548 | Jayla Davis | Counselor | 4 Executive Center Ct, Little Rock, AR 72211-4487 | 2017-09-28 |
| 1316310477 | Kira Rinehart Kennedy | Social Worker | 4 Executive Center Ct, Little Rock, AR 72211-4487 | 2015-11-10 |
| 1548661200 | Arkansas Psychiatric Clinic Clinical Research Trials, Pa | Psychiatry & Neurology | 4 Executive Center Ct, Little Rock, AR 72211-4487 | 2014-09-11 |
| 1356516058 | Ivan Aldea | Psychiatry & Neurology | 4 Executive Center Ct, Little Rock, AR 72211-4487 | 2008-04-24 |
| 1740474832 | James O Davis Iv | Psychiatry & Neurology | 4 Executive Center Ct, Little Rock, AR 72211-4487 | 2007-08-31 |
| 1255548459 | Jennifer Rose Patterson | Social Worker | 4 Executive Center Ct, Little Rock, AR 72211 | 2007-05-17 |
| 1497812135 | Jason B Kuns | Social Worker | 4 Executive Center Ct, Little Rock, AR 72211-4487 | 2007-01-02 |
| 1629163274 | Robert M Jarvis | Specialist | 4 Executive Center Ct, Little Rock, AR 72211-4487 | 2006-10-03 |
| Find all providers in the same location | ||||
| 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 | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043630734 | The Sage Center for Trauma and Wellness, Pllc | Psychologist | 2725 Cantrell Rd Ste 105, Little Rock, AR 72202-2044 | 2014-04-21 |
| 1134468895 | Brian Anderson | Psychologist | 1100 N University Ave Ste 108, Little Rock, AR 72207-6356 | 2013-01-31 |
| 1427300532 | Joy R. Pemberton | Psychologist | 4301 W. Markham, #554, Psychiatric Research Institute, Uams, Little Rock, AR 72205 | 2012-10-12 |
| 1548577521 | Laura Jane Gambone Nobles | Psychologist | 2723 Foxcroft Rd Ste 202a, Little Rock, AR 72227-6522 | 2010-09-11 |
| 1083858005 | George K. Simon Jr. | Psychologist | 1 Innwood Cir Ste 124, Little Rock, AR 72211-2448 | 2009-04-21 |
| 1730356825 | Tisha Lee Deen | Psychologist | 2723 Foxcroft Rd Ste 202, Little Rock, AR 72227-6522 | 2008-05-08 |
| 1205000403 | Meagan Rae Mcpherson | Psychologist | 10515 W Markham St Ste E3, Little Rock, AR 72205-2139 | 2008-04-17 |
| 1366635518 | Daniel John Broderick | Psychologist | 5 Chalamont Ct, Little Rock, AR 72223-5511 | 2007-08-21 |
| 1881894806 | Tracie L. Pasold | Psychologist | 800 Marshall St # 512-9, Dept. of Pediatrics, Section of Adolescent Medicine, Little Rock, AR 72202-3510 | 2007-07-18 |
| 1306976477 | Clinical Psychology Services, Inc. | Psychologist | 18 Corporate Hill Dr Ste 205, Little Rock, AR 72205-4541 | 2007-03-06 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72211 |
Please comment or provide details below to improve the information on MELLANY K FLYNN.
| 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.