OrganizationActive
Fayetteville Psychiatry, Ltd
NPI 1710535935 · Psychiatry Physician · Fayetteville, AR
Provider details
- NPI number
- 1710535935
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Adriana Stacey, Co-Manager(479) 966-6993
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
205 N College Ave
Fayetteville, AR 72701-4238
Phone: (479) 966-6993
Street-level locationGet directions
Mailing address
4641 E Bridgewater Ln
Fayetteville, AR 72703-4670
Registry dates
- Enumerated
- 2019-08-30
- Last updated
- 2019-08-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.