KIMBERLY ANN CALLAWAY GENTRY PHD
NPI 1073137253
Psychologist in Conway, AR

Active since June 03, 2020PECOS Enrolled
317 OAK ST STE 3, CONWAY, AR 72032(501) 358-6396 Get Directions Write a Review

NPPES record last updated: January 25, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 25, 2023, Jun 3, 2020 (2 updates tracked since 2020).

About Kimberly Ann Callaway Gentry Phd NPPES

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

KIMBERLY ANN CALLAWAY GENTRY PHD (NPI 1073137253) is an individual psychologist in Conway, Arkansas, licensed in Arkansas (202217) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Greenbrier.

NPPES Registry Identity

NPI1073137253
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameKIMBERLY ANN CALLAWAY GENTRYCredential: PHD
Location Address317 OAK ST STE 3Conway, AR 72032-5679
Mailing Address23 Colt LoopGreenbrier, AR 72058-9197 · (501) 581-0352
Sole ProprietorNo
Enumeration DateJune 3, 2020
Last NPPES UpdateJanuary 25, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2023
NPI 1073137253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in AR · 202217
Definition
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.
317 OAK ST STE 3, Conway, AR 72032

Other Names 1

Professional Name (2)Dr. Kim Gentry Phd

Secondary Practice Location 1

Location 119 Business Park Dr Ste 5Greenbrier, AR 72058-9286 · Phone (501) 581-7703

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)

Kimberly Ann Callaway Gentry 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.

Other Providers at the Same Location NPPES 6

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

Psychologist (Group Psychotherapy)
317 OAK ST STE 3
CONWAY, AR 72032
Psychologist (Clinical)
317 OAK ST STE 3
CONWAY, AR 72032
Counselor (Professional)
317 OAK ST STE 3
CONWAY, AR 72032
Nurse Practitioner (Psychiatric/Mental Health)
317 OAK ST STE 3
CONWAY, AR 72032
Nurse Practitioner (Psychiatric/Mental Health)
317 OAK ST STE 3
CONWAY, AR 72032
Counselor (Professional)
317 OAK ST STE 3
CONWAY, AR 72032

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 Kimberly Callaway Gentry's NPI number?

The NPI number for Kimberly Callaway Gentry is 1073137253. It was assigned to this individual provider in the NPPES registry on June 3, 2020. The provider is also known as Dr. Kim Gentry Phd.

Where is Kimberly Callaway Gentry located?

Kimberly Callaway Gentry practices at 317 Oak St Ste 3, Conway, AR 72032. The listed phone number is (501) 358-6396.

What is Kimberly Callaway Gentry's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Kimberly Callaway Gentry enrolled in Medicare?

Yes. Kimberly Callaway Gentry is registered in the Medicare PECOS enrollment system.

What insurance does Kimberly Callaway Gentry accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage, Octave and Providence Health Plan list Kimberly Callaway Gentry 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 Kimberly Callaway Gentry was last updated on January 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.