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ROBERT S. MARIS PH.D., P.A.
NPI 1023338365
Psychologist - Clinical in Little Rock, AR

Active since June 09, 2010
7 OFFICE PARK DR, SUITE 120, LITTLE ROCK, AR 72211(501) 219-2419(501) 219-2429 Get Directions Write a Review

NPPES record last updated: June 9, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Robert S. Maris Ph.d., P.a. NPPES

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

ROBERT S. MARIS PH.D., P.A. (NPI 1023338365) is a healthcare organization registered as a clinical in Little Rock, Arkansas and active in the NPI registry since June 2010. The organization lists Robert S Maris, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1023338365
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameROBERT S. MARIS PH.D., P.A.
Location Address7 OFFICE PARK DR, SUITE 120Little Rock, AR 72211-3843
Mailing Address7 Office Park Dr, Suite 120Little Rock, AR 72211-3843 · (501) 219-2419 · Fax (501) 219-2429
Phone(501) 219-2419
Fax(501) 219-2429
Organization SubpartNo
Authorized OfficialRobert S MarisOwner/president · (501) 219-2419
Enumeration DateJune 9, 2010
✔ NPI 1023338365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in AR · 79-22P
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
7 OFFICE PARK DR, Little Rock, AR 72211
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Robert S. Maris Ph.d., P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateArkansasEnrollment IDO20100628000641Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Robert S. Maris Ph.D., P.A., which bills Medicare for the services this clinician delivers.

Clinician (1)

Robert Maris, PHD
Clinical Psychologist
NPI 1083676092
7 OFFICE PARK DR STE 120
Little Rock, AR 72211
(501) 219-2419
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Robert S. Maris Ph.D., P.A.'s NPI number?

The NPI number for Robert S. Maris Ph.D., P.A. is 1023338365. It was assigned to this organization in the NPPES registry on June 9, 2010.

Where is Robert S. Maris Ph.D., P.A. located?

Robert S. Maris Ph.D., P.A. is located at 7 Office Park Dr Suite 120, Little Rock, AR 72211. The listed phone number is (501) 219-2419.

What is Robert S. Maris Ph.D., P.A.'s specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Robert S. Maris Ph.D., P.A. enrolled in Medicare?

Yes. Robert S. Maris Ph.D., P.A. is registered in the Medicare PECOS enrollment system.

When is Robert S. Maris Ph.D., P.A.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arkansas, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Robert S. Maris Ph.D., P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Robert S. Maris Ph.D., P.A.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Robert S. Maris Ph.D., P.A. was last updated on June 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.