Mainline Dermott Medical Clinic is a Cognitive & Behavioral - Psychology Clinic in Dermott, Arkansas. It is located at 300 S School St, Dermott, AR and its contact number is 870-538-5296. The authorized person for Mainline Dermott Medical Clinic is Gary Allan Nichols
who is Ceo of the clinic and his/her contact number is 870-942-3000. Mainline Dermott Medical Clinic Clinic have psychologists who perform variety of professional responsibilities, including assessment (identifying, diagnosing, and conceptualizing problems experienced by individuals or groups), intervention (creating, implementing and evaluating interventions designed to induce positive change) and consultation. Cognitive Behavioral Psychologists also participates in research, education, training, and clinical practice including a range of issues and populations.
Complete Clinic Profile:
Mainline Dermott Medical Clinic Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Mainline Dermott Medical Clinic
Specialization:
Cognitive & Behavioral Psychology
Clinic Address:
300 S School St, Dermott, Arkansas, 71638-2228
Phone:
870-538-5296
Fax:
870-538-3701
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Gary Allan Nichols
Position:
Ceo
Contact Number:
870-942-3000
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Mainline Dermott Medical Clinic clinic are as mentioned below.
NPI Number:
1386758043
NPI Enumeration Date:
19 Aug, 2006
NPI Last Update On:
18 Sep, 2024
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mainline Dermott Medical Clinic are as mentioned below.
Specialization
License Number
State
Status
Federally Qualified Health Center (FQHC)
Primary
Cognitive & Behavioral
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
122645749
Medicaid
Arkansas
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Mainline Dermott Medical Clinic Po Box 509, Dermott, Arkansas
Zip:
71638-0509
Phone Number:
870-942-3000
Fax Number:
870-538-5412
Patients can reach Mainline Dermott Medical Clinic at 300 S School St, Dermott, Arkansas or can call to book an appointment on 870-538-5296. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.