MIRACLE KIDS SUCCESS ACADEMY CENTRAL - NPI 1346168333

Q: What is Miracle Kids Success Academy Central's NPI number?

The NPI number for Miracle Kids Success Academy Central is 1346168333. It was assigned to this organization in the NPPES registry on July 7, 2026.

Q: What is Miracle Kids Success Academy Central's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

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About Miracle Kids Success Academy Central NPPES

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

MIRACLE KIDS SUCCESS ACADEMY CENTRAL (NPI 1346168333) is a healthcare organization registered as a clinical child & adolescent in Jonesboro, Arkansas and active in the NPI registry since July 2026. The organization lists Jeremy Edward Ellis, Controller, as its authorized official.

NPPES Registry Identity

NPI1346168333

Entity TypeOrganization

Primary Taxonomy103TC2200X

Legal Business NameMIRACLE KIDS SUCCESS ACADEMY CENTRAL

Location Address1607 STONE STJonesboro, AR 72401-5332

Mailing Address1607 Stone StJonesboro, AR 72401-5332 · (870) 336-4100

Phone(870) 336-4100

Organization SubpartNo

Authorized OfficialJeremy Edward EllisController · (870) 336-4100

Enumeration DateJuly 7, 2026

NPPES CertifiedJuly 7, 2026

✔ NPI 1346168333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

1607 STONE ST, Jonesboro, AR 72401

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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

Other Providers at the Same Location NPPES 8

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

MR. JEREMY RYAN HART COTA/L

Occupational Therapist