DR. RANDALL DEAN STALEY JR. MD
NPI 1295918449
Psychiatry & Neurology - Child & Adolescent Psychiatry in Springdale, AR

Q: What is Randall Staley's NPI number?

The NPI number for Randall Staley is 1295918449. It was assigned to this individual provider in the NPPES registry on December 11, 2007.

Q: What is Randall Staley's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Q: When was this NPI record last updated?

The NPPES record for Randall Staley was last updated on August 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.

Active since December 11, 2007PECOS EnrolledAccepts Medicare Assignment

4700 S THOMPSON ST STE C103, SPRINGDALE, AR 72764(479) 571-6363(479) 684-3941 Get Directions Write a Review

NPPES record last updated: August 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 15, 2024, Dec 27, 2021, Nov 12, 2018 and 1 more (4 updates tracked since 2018).

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About Dr. Randall Dean Staley Jr. Md NPPES

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

DR. RANDALL DEAN STALEY JR. MD (NPI 1295918449) is an individual child & adolescent psychiatry provider in Springdale, Arkansas, licensed in Arkansas (E-6379) and active in the NPI registry since December 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Arkansas College Of Medicine (2005).

NPPES Registry Identity

NPI1295918449

Entity TypeIndividualMale

Primary Taxonomy2084P0804X

Provider Legal NameDR. RANDALL DEAN STALEY JR.Credential: MD

Location Address4700 S THOMPSON ST STE C103Springdale, AR 72764

Mailing AddressPo Box 1523Fayetteville, AR 72702-1523 · (479) 571-6038 · Fax (479) 582-0222

Phone(479) 571-6363

Fax(479) 684-3941

Sole ProprietorNo

Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 2005

Enumeration DateDecember 11, 2007

Last NPPES UpdateAugust 15, 20244 updates tracked since enumeration

NPPES CertifiedAugust 15, 2024

✔ NPI 1295918449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

License✔ Licensed in AR · E-6379

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License E-6379 (AR)

4700 S THOMPSON ST STE C103, Springdale, AR 72764

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Other Identifiers 1

OtherE6379AR · State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Randall Dean Staley Jr. Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193982908

PECOS Enrollment IDI20120207000316

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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

211 services67 patients

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

19 services13 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

19 services14 patients

Psychiatric diagnostic evaluation with medical services 90792

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

13 services13 patients

Other Providers at the Same Location NPPES 10

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

MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA

Counselor (Professional)