PSYCHOLOGY CENTER OF RUSSELLVILLE, LLC - NPI 1194106476

Q: What is Psychology Center Of Russellville, LLC's specialty?

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

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About Psychology Center Of Russellville, Llc NPPES

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

PSYCHOLOGY CENTER OF RUSSELLVILLE, LLC (NPI 1194106476) is a healthcare organization registered as a clinical in Russellville, Arkansas and active in the NPI registry since June 2015. The organization lists Christina Lin Couch, Owner, as its authorized official.

NPPES Registry Identity

NPI1194106476

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NamePSYCHOLOGY CENTER OF RUSSELLVILLE, LLC

Location Address2621 W MAIN ST, SUITE 7Russellville, AR 72801-2534

Mailing Address2621 W Main St, Suite 7Russellville, AR 72801-2534 · (479) 219-5041 · Fax (479) 219-5046

Phone(479) 219-5041

Fax(479) 219-5046

Organization SubpartNo

Authorized OfficialChristina Lin CouchOwner · (479) 219-5041

Enumeration DateJune 12, 2015

✔ NPI 1194106476 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 · 12-01P

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.

2621 W MAIN ST, Russellville, AR 72801

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Other Identifiers 1

Medicaid191430719AR

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

Other Providers at the Same Location NPPES 4

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

DR. MARK D. HELMS D.D.S.

Dentist (Orthodontics and Dentofacial Orthopedics)

2621 W MAIN ST, SUITE 2
RUSSELLVILLE, AR 72801

Pope County (479) 968-4068

ANNE KEENAN LCSW AND ASSOCIATES

Community/Behavioral Health

2621 W MAIN ST, SUITE 7
RUSSELLVILLE, AR 72801

Pope County (479) 967-4443

MRS. ANNE A. KEENAN LCSW

Social Worker (Clinical)

2621 W MAIN ST, SUITE 7
RUSSELLVILLE, AR 72801

Pope County (479) 967-4443

MARY ANNETTE PUGH MD

Family Medicine

2621 W MAIN ST, SUITE 2A
RUSSELLVILLE, AR 72801

Pope County (479) 567-5467

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 Psychology Center Of Russellville, LLC's NPI number?

The NPI number for Psychology Center Of Russellville, LLC is 1194106476. It was assigned to this organization in the NPPES registry on June 12, 2015.

Where is Psychology Center Of Russellville, LLC located?

Psychology Center Of Russellville, LLC is located at 2621 W Main St Suite 7, Russellville, AR 72801. The listed phone number is (479) 219-5041.

What is Psychology Center Of Russellville, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Psychology Center Of Russellville, LLC was last updated on June 12, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.