KELLY J PIZZITOLA PH.D. - NPI 1043410608 - Clinical Neuropsychologist in North Little Rock, AR

Q: What is Kelly Pizzitola's NPI number?

The NPI number for Kelly Pizzitola is 1043410608. It was assigned to this individual provider in the NPPES registry on July 23, 2007. The provider is also known as Kelly Jarratt MD.

Q: What is Kelly Pizzitola's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Pizzitola was last updated on June 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Kelly J Pizzitola Ph.d. NPPES

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

KELLY J PIZZITOLA PH.D. (NPI 1043410608) is an individual clinical neuropsychologist in North Little Rock, Arkansas, licensed in Arkansas (06-39P) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1043410608

Entity TypeIndividualFemale

Primary Taxonomy103G00000X

Provider Legal NameKELLY J PIZZITOLACredential: PH.D.

Location Address4610 W COMMERCIAL DRNorth Little Rock, AR 72116-7057

Mailing Address1 Childrens Way # 653Little Rock, AR 72202-3500 · (501) 364-1100 · Fax (501) 364-4082

Phone(501) 287-5229

Sole ProprietorNo

Enumeration DateJuly 23, 2007

Last NPPES UpdateJune 11, 20244 updates tracked since enumeration

NPPES CertifiedJune 11, 2024

✔ NPI 1043410608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in AR · 06-39P

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 ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License 34329 (TX)

4610 W COMMERCIAL DR, North Little Rock, AR 72116

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Other Names 1

Former Name (1)Kelly Jarratt Md

Secondary Practice Locations 6

Location 12846 N Garland AveFayetteville, AR 72704-2164 · Phone (479) 339-9702

Location 22703 SE Otis Corley Dr Ste 11Bentonville, AR 72712-3414 · Phone (479) 339-9678

Location 31704 W Industrial Dr Ste CRogers, AR 72756-2497 · Phone (479) 339-1689

Location 41 Childrens Way # 653Little Rock, AR 72202-3500 · Phone (501) 364-1100 · Fax (501) 364-4082

Location 5154 Cornerstone LnHot Springs, AR 71913-6560 · Phone (501) 389-8424

Location 6815 S Donaghey AveConway, AR 72034-6880 · Phone (501) 400-0924

Other Identifiers 1

Medicaid164708719AR

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly J Pizzitola Ph.d. 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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

INDIA BARNES

Behavior Technician