DR. MARA ELIZABETH WHITESIDE PHD
NPI 1013408137
Clinical Neuropsychologist in Springdale, AR

Active since May 24, 2018PECOS Enrolled
2575 S. GENE GEORGE BLVD., STE. 100, SPRINGDALE, AR 72762(479) 750-0125 Get Directions Write a Review

NPPES record last updated: January 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 6, 2022, Sep 13, 2021, May 24, 2018 (3 updates tracked since 2018).

About Dr. Mara Elizabeth Whiteside Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARA ELIZABETH WHITESIDE PHD (NPI 1013408137) is an individual clinical neuropsychologist in Springdale, Arkansas, licensed in Arkansas (17-24P) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013408137
Entity TypeIndividualFemale
Primary Taxonomy103G00000X
Provider Legal NameDR. MARA ELIZABETH WHITESIDECredential: PHD
Location Address2575 S. GENE GEORGE BLVD., STE. 100Springdale, AR 72762
Mailing Address2575 S. Gene George Blvd, Ste. 100Springdale, AR 72762 · (479) 750-0125
Sole ProprietorYes
Enumeration DateMay 24, 2018
Last NPPES UpdateJanuary 9, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2024
NPI 1013408137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License Licensed in AR · 17-24P
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Also ListedPsychologistTaxonomy 103T00000X · License 17-24P (AR)
Also ListedPsychologist · SchoolTaxonomy 103TS0200X · License 17-24P (AR)
2575 S. GENE GEORGE BLVD., Springdale, AR 72762

Other Names 1

Former Name (1)Dr. Mara Elizabeth Wood Phd

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Mara Elizabeth Whiteside Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mara Whiteside's NPI number?

The NPI number for Mara Whiteside is 1013408137. It was assigned to this individual provider in the NPPES registry on May 24, 2018. The provider is also known as Dr. Mara Elizabeth Wood Phd.

Where is Mara Whiteside located?

Mara Whiteside practices at 2575 S. Gene George Blvd. Ste. 100, Springdale, AR 72762. The listed phone number is (479) 750-0125.

What is Mara Whiteside's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Mara Whiteside enrolled in Medicare?

Yes. Mara Whiteside is registered in the Medicare PECOS enrollment system.

What insurance does Mara Whiteside accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Mara Whiteside as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mara Whiteside was last updated on January 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.