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FAYETTEVILLE PSYCHIATRY, LTD
NPI 1710535935
Psychiatry & Neurology - Psychiatry in Fayetteville, AR

Active since August 30, 2019CLIA 04D2175834 · Waiver
205 N COLLEGE AVE, FAYETTEVILLE, AR 72701(479) 966-6993 Get Directions Write a Review

NPPES record last updated: August 30, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fayetteville Psychiatry, Ltd NPPES

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

FAYETTEVILLE PSYCHIATRY, LTD (NPI 1710535935) is a healthcare organization registered as a psychiatry in Fayetteville, Arkansas and active in the NPI registry since August 2019. The organization holds a CLIA Waiver certificate valid through December 2, 2027 and lists Adriana Stacey, Co-manager, as its authorized official.

NPPES Registry Identity

NPI1710535935
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameFAYETTEVILLE PSYCHIATRY, LTD
Location Address205 N COLLEGE AVEFayetteville, AR 72701-4238
Mailing Address4641 E Bridgewater LnFayetteville, AR 72703-4670 · (479) 966-6993
Phone(479) 966-6993
Organization SubpartNo
Authorized OfficialAdriana StaceyCo-manager · (479) 966-6993
Enumeration DateAugust 30, 2019
✔ NPI 1710535935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
205 N COLLEGE AVE, Fayetteville, AR 72701
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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

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 ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 04D2175834

Fayetteville Psychiatry · Fayetteville, AR
Active · expires Dec 2, 2027
CLIA Number04D2175834
Laboratory TypePhysician Office
Certificate Effective DateDecember 3, 2025
Certificate Expiration DateDecember 2, 2027
Laboratory DirectorDr. Adriana U. Stacey
Laboratory Phone(479) 422-5163
Laboratory LocationFayetteville Psychiatry205 N College Ave, Fayetteville, AR 72701
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

ADRIANA U. STACEY M.D.
Psychiatry & Neurology (Psychiatry)
205 N COLLEGE AVE
FAYETTEVILLE, AR 72701
Washington County (479) 422-5163

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 Fayetteville Psychiatry, Ltd's NPI number?

The NPI number for Fayetteville Psychiatry, Ltd is 1710535935. It was assigned to this organization in the NPPES registry on August 30, 2019.

Where is Fayetteville Psychiatry, Ltd located?

Fayetteville Psychiatry, Ltd is located at 205 N College Ave, Fayetteville, AR 72701. The listed phone number is (479) 966-6993.

What is Fayetteville Psychiatry, Ltd's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Does Fayetteville Psychiatry, Ltd hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2175834) is associated with this NPI, valid through December 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Fayetteville Psychiatry, Ltd accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 2 other insurers list Fayetteville Psychiatry, Ltd 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 Fayetteville Psychiatry, Ltd was last updated on August 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.