PHYSICIAN'S MANAGEMENT GROUP
NPI 1871756437
Psychologist - Intellectual and Developmental Disabilities in Jacksonville, AR
NPI Status: Active since July 03, 2008
Contact Information
2520 W MAIN ST
JACKSONVILLE, AR
ZIP 72076
Phone: (501) 982-0528
Fax: (501) 985-7777
- Organization
- Psychologist
- Intellectual and Developmental Disabilit...
- CLIA Number: 04D2042678
- CLIA Cert. Type: Independent
- CLIA Exp. Date: 08-01-2027
About PHYSICIAN'S MANAGEMENT GROUP
This page provides the complete NPI Profile along with additional information for Physician's Management Group, a provider established in Jacksonville, Arkansas operating as a Psychologist, focusing in intellectual and developmental disabilities . The healthcare provider is registered in the NPI registry with number 1871756437 assigned on July 2008. The practitioner's primary taxonomy code is 103TM1800X with license number C5129 (AR). The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Robert Farrell Md (Ceo)
- NPI
- 1871756437
- Provider Name
- PHYSICIAN'S MANAGEMENT GROUP
- Entity Type
- Organization
- Location Address
- 2520 W MAIN ST JACKSONVILLE, AR 72076
- Location Phone
- (501) 982-0528
- Location Fax
- (501) 985-7777
- Mailing Address
- 501 N ELM ST LITTLE ROCK, AR 72205
- Mailing Phone
- (501) 663-4204
- Mailing Fax
- (501) 985-7777
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-03-2008
- Last Update Date
- 07-03-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Intellectual and Developmental Disabilities
- Taxonomy Code
- 103TM1800X
- Type
- Behavioral Health & Social Service Providers
- License No.
- C5129
- License State
- AR
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 04D2042678
- Facility Type
- Independent
- Certificate Effective Date
- August 02, 2025
- Certificate Expiration Date
- August 01, 2027
- Laboratory Director
- JOSHUA BORNHORST
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Physician's Management Group after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1871756437, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 63 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 18 providers are registered at the same or a nearby location.
JACKSONVILLE, AR 72076
JACKSONVILLE, AR 72076
JACKSONVILLE, AR 72076
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1871756437, enumerated as an "organization" on July 03, 2008.
The provider is located at 2520 W MAIN ST JACKSONVILLE, AR 72076 and the phone number is (501) 982-0528.
Psychologist with taxonomy code 103TM1800X and a focus in Intellectual and Developmental Disabilities.
