JACQUELYN RAE LANGE-HALLEY (NPI# 1699065110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699065110 |
| Entity Type | Individual |
| Full Name | JACQUELYN RAE LANGE-HALLEY |
| Credential | MD |
| Practice Address |
2580 E Joyce Blvd Ste 1 Fayetteville AR 72703-3924 |
| Mailing Address |
Po Box 8936 Fayetteville AR 72703-0016 |
| Practice Telephone | 4793057201 |
| Practice Fax Number | 9495774833 |
| Mailing Telephone | 4793057201 |
| Mailing Fax Number | 9495774833 |
| Enumeration Date | 2011-04-18 |
| Last Update Date | 2020-04-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
E-9197 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 211861001 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1955 W Truckers Dr, Fayetteville, AR 727045637 | 4799736000 | 4799736050 |
| Street Address |
2580 E JOYCE BLVD STE 1 |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72703-3924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457980799 | Dauntless Psychiatry | Psychiatry & Neurology | 2580 E Joyce Blvd Ste 1, Fayetteville, AR 72703-3924 | 2020-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154391 | Margaret Sorrells | Pharmacist | 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 | 2020-11-06 |
| 1497369631 | Justin A Rand | Massage Therapist | 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 | 2020-09-04 |
| 1235777558 | Washington Regional Medical System | Specialist | 3264 N North Hills Blvd, Fayetteville, AR 72703 | 2019-12-17 |
| 1760024582 | Haley Brooke Thompson | Occupational Therapist | 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 | 2019-10-14 |
| 1306492129 | Bhg L, LLC | Clinic/Center | 8 Colt Square Drive, Fayetteville, AR 72703 | 2019-08-16 |
| 1306406269 | Idell Marie Mitchell | Optometrist | Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 | 2019-06-13 |
| 1821574815 | Toni Myer | Nurse Practitioner | 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 | 2018-07-13 |
| 1306340393 | Josh Kelfer | Student in an Organized Health Care Education/Training Program | 1125 North College Avenue, Fayetteville, AR 72703 | 2018-03-22 |
| 1649726449 | Vantage Point of Nwa | Community/Behavioral Health | 4171 N. Crossover Rd, Fayetteville, AR 72703 | 2016-08-31 |
| 1386097137 | Jason Nordstrom | Speech-Language Pathologist | 2664 N Valencia Ave, Fayetteville, AR 72703 | 2016-07-18 |
| Find all providers in zip 72703 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609316694 | Suzanne Nicholas LLC | Psychiatry & Neurology | 2224 Riverfront Ln, Fayetteville, AR 72703-9527 | 2017-02-24 |
| 1417310491 | Murray Fork Clinic, PC | Psychiatry & Neurology | 6020 Morganton Road, Fayetteville, NC 28314-1352 | 2016-03-29 |
| 1003225491 | Johari Family Services, LLC | Psychiatry & Neurology | 701 Whitfield St, Fayetteville, NC 28306-1617 | 2014-08-11 |
| 1609154509 | Saguaro Group LLC | Psychiatry & Neurology | 2800 Breezewood Drive, Ste 100, Fayetteville, NC 28303-5282 | 2011-07-26 |
| 1124343918 | Dorothee S Mecum | Psychiatry & Neurology | 28 W Sunbridge Dr, Fayetteville, AR 72703-1822 | 2010-04-05 |
| 1922269018 | Kevin M Lamm | Psychiatry & Neurology | 1724 Roxie Avenue, Fayetteville, NC 28304 | 2008-06-20 |
| 1780871152 | Atul Kantesaria Md Pllc | Psychiatry & Neurology | 105 Hunter Cir, Fayetteville, NC 28304-3407 | 2007-10-01 |
| 1942496005 | James Robert Parks | Psychiatry & Neurology | 102 E Sunbridge Dr, Suite 1, Fayetteville, AR 72703-2830 | 2007-09-21 |
| 1144353699 | Trevor Nagib Iskander | Psychiatry & Neurology | 280 Salt Springs St, Fayetteville, NY 13066-2258 | 2007-03-13 |
| 1336283498 | Keith Martin Berner | Psychiatry & Neurology | 112 W Center St Ste 200, Fayetteville, AR 72701 | 2007-02-20 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 72703 |
Please comment or provide details below to improve the information on JACQUELYN RAE LANGE-HALLEY.
| 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.