MCCAIN PSYCHOTHERAPY CENTER (NPI# 1992127419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992127419 |
| Entity Type | Organization |
| Organization Name | MCCAIN PSYCHOTHERAPY CENTER |
| Other Organization Name | PEGGY G MORROW |
| Practice Address |
3805 Mccain Park Dr Ste 116 North Little Rock AR 72116-7813 |
| Practice Telephone | 5017589993 |
| Mailing Telephone | 5017589993 |
| Enumeration Date | 2014-01-17 |
| Last Update Date | 2014-01-17 |
| Authorized Official Name | MRS. PEGGY G MORROW (OWNER) |
| Authorized Official Telephone | 5017589993 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
1444C | AR | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
697C | AR | Behavioral Health & Social Service Providers |
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
S01007 | AR | Nursing Service Providers |
| Other Name | Type Code |
|---|---|
| Peggy G Morrow | Doing Business As Name - Organization |
| Street Address |
3805 MCCAIN PARK DR STE 116 |
| City | NORTH LITTLE ROCK |
| State | AR |
| Zip Code | 72116-7813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710509997 | Dickerson Family Resource Center, LLC | Counselor | 5401 John F. Kennedy Blvd, Suite I Rm 1, North Little Rock, AR 72116 | 2020-05-11 |
| 1831609262 | Bill J Carpenter Sr. | Counselor | 4700 W Commercial Dr Ste B3, North Little Rock, AR 72116 | 2017-10-12 |
| 1992257646 | Meagan Booe | Behavioral Analyst | 3812 Lakewood Valley Drive, North Little Rock, AR 72116 | 2016-10-28 |
| 1295154300 | Min-ji Lee | Family Medicine | 2504 Mccain Blvd Ste 118, North Little Rock, AR 72116 | 2014-04-16 |
| 1255603486 | Crystal N Lackey | Physical Therapist | 3801 Jfk Blvd Ste C, North Little Rock, AR 72116 | 2012-02-03 |
| 1003055724 | North Little Rock, Pllc | Chiropractor | 4614 Jfk Blvd, North Little Rock, AR 72116 | 2009-02-19 |
| 1891933826 | Jennifer Ann Freilino | Counselor | 3805 Mccain Park Dr Ste 112, North Little Rock, AR 72116 | 2009-01-29 |
| 1679729669 | Amy Marie Jones | Speech-Language Pathologist | 5901 John F Kennedy Blvd Apt 5127, North Little Rock, AR 72116 | 2008-08-11 |
| 1992970917 | Ronald F Boyles Od Pa | Eyewear Supplier (Equipment, not the service) | 2520 Crestwood Road, North Little Rock, AR 72116 | 2008-04-30 |
| 1992976377 | Kencur Inc Statco Hearing Labs | Hearing Instrument Specialist | 4000 Mccain Blvd, Suite D, North Little Rock, AR 72116 | 2008-03-13 |
| Find all providers in zip 72116 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851664874 | Mary Ann Sullivan | Registered Nurse | 1901 Main St, North Little Rock, AR 72114-2831 | 2012-02-22 |
| 1205132636 | Rosalynn Denise Mcgill | Registered Nurse | 4354 Stockton Dr, North Little Rock, AR 72117-2917 | 2011-02-02 |
| 1376869065 | Donna Bingley | Registered Nurse | 4702 W Commercial Dr, North Little Rock, AR 72116-7068 | 2010-04-20 |
| 1851568315 | Mystic Michelle Thompson | Registered Nurse | 3223 E Broadway St, North Little Rock, AR 72114-6344 | 2008-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518434745 | Shawnte Marie Farmer | Registered Nurse | 910 Nw 7th St Ste 6, Bentonville, AR 72712-4565 | 2018-10-25 |
| 1346789948 | Watkins Family Health & Counseling, Inc. | Registered Nurse | 10345 W Jeter Rd, Fayetteville, AR 72701-9382 | 2017-02-15 |
| 1841740115 | Kelsey Morgan Sallee | Registered Nurse | 4004 Massard Rd, Fort Smith, AR 72903-6222 | 2016-10-10 |
| 1982060562 | Buffalo River Clinic Inc | Registered Nurse | 933 Mc 6013, Yellville, AR 72687-7595 | 2016-01-12 |
| 1164805636 | Teressa Lynn Barnes | Registered Nurse | 810 N. Hutchinson St., Pine Bluff, AR 71602-4644 | 2015-07-02 |
| 1215194055 | Darin Paul Morgan | Registered Nurse | 1014 Autumn Rd Ste 3, Little Rock, AR 72211-3768 | 2008-05-20 |
| 1497922868 | Jacqueline Regina Love-ryan | Registered Nurse | 620 S Laurel, Pine Bluff, AR 71601-4859 | 2008-05-14 |
| 1669664975 | Lori Jean Cline | Registered Nurse | 2322 Gunpowder Rd, Little Rock, AR 72227-3025 | 2007-08-10 |
| 1588709646 | Perspectives Behavioral Health Management, LLC | Registered Nurse | 115 Fort St, Barling, AR 72923-2646 | 2007-02-20 |
| 1407910680 | Susan Lowrey | Registered Nurse | 4601 W 7th St, Little Rock, AR 72205-5441 | 2006-12-21 |
| Find all providers with the same taxonomy | ||||
| City | NORTH LITTLE ROCK |
| Zip Code | 72116 |
Please comment or provide details below to improve the information on MCCAIN PSYCHOTHERAPY CENTER.
| 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.