ROGER ELLIOTT HICKS III


Address: 2200 Fort Roots Dr # 3d, North Little Rock, AR 72114
Phone: 5012573925

ROGER ELLIOTT HICKS III (NPI# 1598071490) 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) 1598071490
Entity Type Individual
Full Name ROGER ELLIOTT HICKS III
Credential PHD
Practice Address 2200 Fort Roots Dr # 3d
North Little Rock
AR 72114
Mailing Address 2200 Fort Roots Dr # 3d
North Little Rock
AR 72114-1709
Practice Telephone 5012573925
Mailing Telephone 5012573925
Enumeration Date 2010-08-30
Last Update Date 2019-09-25
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers
Y 103TC0700X Psychologist
Specialization: Clinical
2715 KS Behavioral Health & Social Service Providers
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
4301 W Markham St, Slot 589, Little Rock, AR 722057101 3127478974

Other Providers ROGER HICKS

NPI Name Taxonomy Address Enumeration
1013393164 Roger Hicks Massage Therapist 409 Pine St, 207, Klamath Falls, OR 97601-6020 2015-07-30
1295908630 Roger Lowell Hicks Dentist 1345 E 3900 S, Suite 216, Salt Lake City, UT 84124-1474 2008-04-07
1275685901 Roger D Hicks Counselor 605 South Ky Hwy 15, Campton, KY 41301 2007-01-16
1689605206 Roger G Hicks Emergency Medicine 2090 Nevada City Hwy, Grass Valley, CA 95945-7702 2006-07-05

Office Location

Street Address 2200 FORT ROOTS DR # 3D
City NORTH LITTLE ROCK
State AR
Zip Code 72114

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316432966 Mid State Counseling and Recovery Service Clinic/Center 1920 Main St Ste 229, North Little Rock, AR 72114 2018-06-26
1053826842 Kelli Lauron Johnson Nurse Practitioner 2800 North Willow Street, North Little Rock, AR 72114 2017-12-03
1689117756 State of Arkansas Skilled Nursing Facility 2401 John Ashley Drive, Building #100, North Little Rock, AR 72114 2016-11-22
1366787459 J Andrew Mccullough Counselor 628 W Broadway St Ste 300, North Little Rock, AR 72114 2012-11-30
1740594456 Tuyet Thi Van Dentist 520 W. Pershing Blvd., North Little Rock, AR 72114 2010-08-05
1467764183 Jennifer Leigh Nash Behavioral Analyst 628 W Broadway St Ste 100, North Little Rock, AR 72114 2010-07-10
1336398544 Tina A Davie Registered Nurse 2200 Foot Roots Drive, Little Rock, AR 72114 2008-09-11
1316125313 Centers for Youth & Families Community/Behavioral Health 200 W. 20th, North Little Rock, AR 72114 2008-02-01
1881878064 Marie A Graham Nurse Practitioner 636 West Broadway St, No Little Rock, AR 72114 2007-12-24
1902012297 Lee Overall Kinesiotherapist 2200 Ft Roots Rd, Little Rock, AR 72114 2007-05-15
Find all providers in zip 72114

Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194297648 John M Ray Psychologist 2200 Fort Roots Dr 116b/nlr, North Little Rock, AR 72114-1709 2018-12-21
1699279158 Eva N Woodward Psychologist 2200 Fort Roots Drive, 152 Nlr, North Little Rock, AR 72114-1709 2018-03-20
1265853378 Renee Gibbs Psychologist 2200 Fort Roots Dr # 116b, North Little Rock, AR 72114-1709 2013-12-17
1437429818 Shanti M Pepper Psychologist 2200 Fort Roots Dr Bldg 170116, North Little Rock, AR 72114-1709 2012-01-03
1407964471 Stephen F. Daniels Psychologist 2200 Ft. Roots Drive, 116d/nlr, North Little Rock, AR 72214 2006-08-29
1710935218 Mary Moore Ekdahl Psychologist 4004 Mccain Blvd, Suite 203, North Little Rock, AR 72116-8057 2006-05-05
1285118943 Leticia Duvivier Psychologist 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 2018-09-19
1710485115 Stephanie Catherine Raducha Psychologist 2200 Fort Roots Dr, 116b/nlr, North Little Rock, AR 72114 2018-01-31
1386002673 Alissa Kolb Psychologist 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 2016-02-02
1245609155 Katherine Green Pope Psychologist 1301 Main St, North Little Rock, AR 72114-4126 2015-09-21
Find all providers in NORTH LITTLE ROCK

Competitor

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City NORTH LITTLE ROCK
Zip Code 72114

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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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