KIDSPIRATION BEHAVIORAL HEALTH (NPI# 1558908780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558908780 |
Entity Type | Organization |
Organization Name | KIDSPIRATION BEHAVIORAL HEALTH |
Practice Address |
1310 Bradley Dr Mountain Home AR 72653-2730 |
Mailing Address |
Po Box 2533 Mountain Home AR 72654-2533 |
Practice Telephone | 8704244021 |
Practice Fax Number | 8704244112 |
Mailing Telephone | 8704244021 |
Mailing Fax Number | 8704244112 |
Enumeration Date | 2019-12-06 |
Last Update Date | 2019-12-06 |
Authorized Official Name | JOLENE SHOCKEY (BILLING MANAGER) |
Authorized Official Telephone | 8704244021 |
Is Organization Subpart | Y |
Parent Organization Name | KIDSPIRATION OUTPATIENT THERAPY SERVICES |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Kidspiration Behavioral Health | Doing Business As Name - Organization |
Street Address |
1310 BRADLEY DR |
City | MOUNTAIN HOME |
State | AR |
Zip Code | 72653-2730 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548477425 | Amber Raley | Case Manager/Care Coordinator | 1310 Bradley Dr, Mountain Home, AR 72653-2730 | 2007-05-17 |
1558903872 | Makenna Seats | Occupational Therapist | 1310 Bradley Dr, Mountain Home, AR 72653-2730 | 2019-10-09 |
1477046803 | Alyssa Edwards | Developmental Therapist | 1310 Bradley Dr, Mountain Home, AR 72653-2730 | 2018-06-11 |
1740778950 | Jennifer Cook | Licensed Practical Nurse | 1310 Bradley Dr, Mountain Home, AR 72653-2730 | 2018-04-24 |
1992202527 | Angela Stowe | Licensed Practical Nurse | 1310 Bradley Dr, Mountain Home, AR 72653-2730 | 2018-04-10 |
1851802938 | Hope Boyd | Licensed Practical Nurse | 1310 Bradley Dr, Mountain Home, AR 72653-2730 | 2017-10-17 |
1912416116 | Patricia Dickinson | Registered Nurse | 1310 Bradley Dr, Mountain Home, AR 72653-2730 | 2017-09-20 |
1487197059 | Pamela Morton | Registered Nurse | 1310 Bradley Dr, Mountain Home, AR 72653-2730 | 2016-11-29 |
1790237998 | Ginger Wiggins | Licensed Practical Nurse | 1310 Bradley Dr, Mountain Home, AR 72653-2730 | 2016-11-04 |
1932567625 | Diane Porter | Developmental Therapist | 1310 Bradley Dr, Mountain Home, AR 72653-2730 | 2016-02-09 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619513934 | Maranda Hickman | Physical Therapy Assistant | 347 Hwy 62 East College Plaza, Mountain Home, AR 72653 | 2019-11-21 |
1659929156 | Gale E Bacan | Technician | 1703 Monroe Ave, Mountain Home, AR 72653 | 2019-08-28 |
1891259321 | Kidspiration Pediatric Therapy Services | Clinic/Center | 710 Bradley Dr., Mountain Home, AR 72653 | 2019-01-29 |
1093279275 | Piper's Vision Xpress, LLC | Optometrist | 50 Paul Wood Lane, Mountian Home, AR 72653 | 2019-01-22 |
1346769155 | Heather Bollinger | Nurse Practitioner | 65 Walmart Drive, C/o Clinic At Walmart, Mountain Home, AR 72653 | 2017-09-12 |
1447774989 | Natalie D Ahrent | Physical Medicine & Rehabilitation | 804 Coley Dr, Mountain Home, AR 72653 | 2017-07-26 |
1417486028 | Andrew David Hatman | Case Manager/Care Coordinator | 1349 Hampshire Circle, Mountain Home, AR 72653 | 2017-06-07 |
1568848315 | Taylor Chiropractic Plc | Health Maintenance Organization | 103 S Main St Ste 5, Mountain Home, AR 72653 | 2015-08-04 |
1942606306 | Harps Food Stores, Inc | Pharmacy | 2089 Highway 62 West, Mountain Home, AR 72653 | 2014-11-13 |
1972920726 | Lavonne Armstrong | Counselor | 8 Medical Plaza, Mountain Home, AR 72653 | 2014-03-18 |
Find all providers in zip 72653 |
Taxonomy Code | 2080P0006X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Developmental – Behavioral Pediatrics |
A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942377379 | University of Arkansas for Medical Sciences | Pediatrics | 1221 Bishop St, Little Rock, AR 72202 | 2006-11-29 |
1366518615 | University of Arkansas for Medical Sciences | Pediatrics | 300 Camp Rd, Pocahontas, AR 72455 | 2006-11-28 |
1558437723 | University of Arkansas for Medical Sciences | Pediatrics | 816 N Jackson, Magnolia, AR 71753 | 2006-11-28 |
1003982190 | University of Arkansas for Medical Sciences | Pediatrics | 3450 W 34th Ave, Pine Bluff, AR 71603 | 2006-11-28 |
1669548756 | University of Arkansas for Medical Sciences | Pediatrics | 417 W Maple Ave, Springdale, AR 72764 | 2006-11-28 |
1932275195 | University of Arkansas for Medical Sciences | Pediatrics | 100 Robert Fiser Ave, Morrilton, AR 72110 | 2006-11-28 |
1477628352 | University of Arkansas for Medical Sciences | Pediatrics | 222 E Central St, Warren, AR 71671 | 2006-11-23 |
1760557649 | University of Arkansas for Medical Sciences | Pediatrics | 1612 Maryland Ave, Little Rock, AR 72202 | 2006-11-23 |
1770822652 | Disability Treatment Centers of Arkansas | Pediatrics | 11524 N Rodney Parham Rd, Suite 8b, Little Rock, AR 72212-4187 | 2013-02-12 |
1750620639 | Disability Service Centers of Arkansas | Pediatrics | 11524 N Rodney Parham Rd, Suite 8b, Little Rock, AR 72212-4187 | 2013-02-12 |
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City | MOUNTAIN HOME |
Zip Code | 72653 |
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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.