DR. DOUGLAS PROVAZNIK MD
NPI 1851897516
Psychiatry & Neurology - Psychiatry in Little Rock, AR

Q: What is Douglas Provaznik's NPI number?

The NPI number for Douglas Provaznik is 1851897516. It was assigned to this individual provider in the NPPES registry on April 2, 2018.

Q: What is Douglas Provaznik's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Douglas Provaznik was last updated on January 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 02, 2018

4301 W MARKHAM ST # 589, LITTLE ROCK, AR 72205(501) 526-8148 Get Directions Write a Review

NPPES record last updated: January 31, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 31, 2022, Nov 30, 2021 (2 updates tracked since 2021).

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About Dr. Douglas Provaznik Md NPPES

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

DR. DOUGLAS PROVAZNIK MD (NPI 1851897516) is an individual psychiatry provider in Little Rock, Arkansas, licensed in Arkansas (E-14627) and active in the NPI registry since April 2018. He maintains a secondary practice location in Fayetteville.

NPPES Registry Identity

NPI1851897516

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameDR. DOUGLAS PROVAZNIKCredential: MD

Location Address4301 W MARKHAM ST # 589Little Rock, AR 72205-7199

Mailing Address4301 W Markham St # 589Little Rock, AR 72205-7199 · (501) 526-8148

Phone(501) 526-8148

Sole ProprietorNo

Enumeration DateApril 2, 2018

Last NPPES UpdateJanuary 31, 20222 updates tracked since enumeration

NPPES CertifiedJanuary 31, 2022

✔ NPI 1851897516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in AR · E-14627

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4301 W MARKHAM ST # 589, Little Rock, AR 72205

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Secondary Practice Location 1

Location 11955 W Truckers DrFayetteville, AR 72704-5637 · Phone (479) 973-6000

Other Providers at the Same Location NPPES 20

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

CHRYSTAL TARRYN FULLEN PSYD

Clinical Neuropsychologist