QHG OF SPRINGDALE, INC. (NPI# 1699796342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699796342 |
| Entity Type | Organization |
| Organization Name | QHG OF SPRINGDALE, INC. |
| Other Organization Name | NORTHWEST SENIOR HEALTH CENTERS - SPRINGDALE |
| Practice Address |
3715 N Bus Dr Suite 104 Fayettevill AR 72703 |
| Mailing Address |
Po Box 7360 Springdale AR 72766-7360 |
| Practice Telephone | 4797574000 |
| Practice Fax Number | 4797572908 |
| Mailing Telephone | 4797574000 |
| Mailing Fax Number | 4797572908 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | REBECCA HURLEY (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 2144733993 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103T00000X | Psychologist | AR4112 | AR | Behavioral Health & Social Service Providers |
| X | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
AR4112 | AR | Allopathic & Osteopathic Physicians |
| X | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
AR4112 | AR | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Northwest Senior Health Centers - Springdale | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | QHG OF SPRINGDALE, INC. | 5800 Tennyson Parkway, Plano, TX 75024 |
| Street Address |
3715 N BUS DR SUITE 104 |
| City | FAYETTEVILL |
| State | AR |
| Zip Code | 72703 |
| 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 | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639725161 | Lauren Rosso | Psychologist | 19 E Mountain St Ste 5, Fayetteville, AR 72701-6067 | 2019-08-12 |
| 1427512128 | Tiffany Marie Wierzbicki | Psychologist | 4004 Mccain Blvd Ste 203, North Little Rock, AR 72116-8057 | 2019-01-27 |
| 1770078750 | Sarah Henderson | Psychologist | 10802 Executive Center Dr Ste 100, Little Rock, AR 72211-4377 | 2018-06-22 |
| 1265951784 | Robert D Felner | Psychologist | 1255 N Montview Dr, Fayetteville, AR 72701-2892 | 2017-09-15 |
| 1851814230 | Blakely Low | Psychologist | 1229 Meadow Street Suite #221, Jones Family Center for Student-athlete Success, Fayetteville, AR 72701 | 2017-07-18 |
| 1316498744 | Morais Consulting, Pllc | Psychologist | 2723 Foxcroft Rd Ste 202f, Little Rock, AR 72227-6522 | 2016-10-20 |
| 1629426770 | Nicholas Mitrani | Psychologist | 4206 Prince Street, Conway, AR 72034-9398 | 2016-05-31 |
| 1649632407 | Caren R Moore | Psychologist | 2020 W 3rd St Ste 609, Little Rock, AR 72205-4467 | 2016-03-22 |
| 1548647381 | Melissa Jean Zielinski | Psychologist | 4301 W Markham St, Slot 589, Little Rock, AR 72205 | 2015-04-30 |
| 1548677693 | Rachel Allen | Psychologist | 11219 Financial Centre Pkwy Ste 310, Little Rock, AR 72211-3868 | 2014-07-21 |
| Find all providers with the same taxonomy | ||||
| City | FAYETTEVILL |
| Zip Code | 72703 |
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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.