DR. MARY MOORE EKDAHL PHD
NPI 1710935218
Psychologist - Clinical in North Little Rock, AR

Active since May 05, 2006
4004 MCCAIN BLVD, SUITE 203, NORTH LITTLE ROCK, AR 72116(501) 812-4268(501) 812-4286 Get Directions Write a Review

NPPES record last updated: March 8, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mary Moore Ekdahl Phd NPPES

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

DR. MARY MOORE EKDAHL PHD (NPI 1710935218) is an individual clinical provider in North Little Rock, Arkansas, licensed in Arkansas (964P) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1710935218
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MARY MOORE EKDAHLCredential: PHD
Location Address4004 MCCAIN BLVD, SUITE 203North Little Rock, AR 72116-8057
Mailing Address4004 Mccain Blvd, Suite 203North Little Rock, AR 72116-8057 · (501) 812-4268 · Fax (501) 812-4286
Fax(501) 812-4286
Sole ProprietorNo
Enumeration DateMay 5, 2006
Last NPPES UpdateMarch 8, 2013
NPI 1710935218 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 · 964P
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.
4004 MCCAIN BLVD, North Little Rock, AR 72116

Other Names 1

Former Name (1)Mary Catherine Moore

Other Identifiers 2

Medicare ID-Type Unspecified5T495AR
Medicaid139320719AR

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Psychologist (Counseling)
4004 MCCAIN BLVD, SUITE 203
NORTH LITTLE ROCK, AR 72116
Psychologist (Family)
4004 MCCAIN BLVD, SUITE 203
NORTH LITTLE ROCK, AR 72116

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 Mary Ekdahl's NPI number?

The NPI number for Mary Ekdahl is 1710935218. It was assigned to this individual provider in the NPPES registry on May 5, 2006. The provider is also known as Mary Catherine Moore.

Where is Mary Ekdahl located?

Mary Ekdahl practices at 4004 Mccain Blvd Suite 203, North Little Rock, AR 72116. The listed phone number is (501) 812-4268.

What is Mary Ekdahl's specialty?

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

What insurance does Mary Ekdahl accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage, Octave and Providence Health Plan list Mary Ekdahl 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 Mary Ekdahl was last updated on March 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.