KIDSPIRATION BEHAVIORAL HEALTH


Address: 1310 Bradley Dr, Mountain Home, AR 72653-2730
Phone: 8704244021

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0006X Pediatrics
Specialization: Developmental – Behavioral Pediatrics
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Kidspiration Behavioral Health Doing Business As Name - Organization

Office Location

Street Address 1310 BRADLEY DR
City MOUNTAIN HOME
State AR
Zip Code 72653-2730

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2080P0006X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Developmental – Behavioral Pediatrics

Taxonomy Definition

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.

Providers in the same taxonomy and state

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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Competitor

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City MOUNTAIN HOME
Zip Code 72653

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Dataset Information

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.

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