Kidspiration Behavioral Health
NPI 1558908780ActiveOrganization· Pediatrics, Developmental - Behavioral Pediatrics· Mountain Home, AR
Pediatrics, Developmental - Behavioral Pediatrics in Mountain Home, Arkansas, registered in NPPES in December 2019, part of Kidspiration Outpatient Therapy Services. The authorized official on file is Jolene Shockey, Billing Manager.
Overview
| NPI | 1558908780 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Kidspiration Outpatient Therapy Services |
| NPI issued | Dec 6, 2019 |
| Last updated in NPPES | Dec 6, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics, Developmental - Behavioral Pediatrics Primary | 2080P0006X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|