INNOVATIVE PSYCHOLOGICAL SERVICES INC. NPI 1558880153

NPI Information

  • NPI: 1558880153
  • Provider Name: INNOVATIVE PSYCHOLOGICAL SERVICES, INC.
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • Address: 2215 WILDWOOD AVE
    SHERWOOD, AR
    ZIP 72120
  • Phone: (501) 238-6560

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NPI Details

INNOVATIVE PSYCHOLOGICAL SERVICES, INC. is an adult mental health clinic center in Sherwood, AR. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. INNOVATIVE PSYCHOLOGICAL SERVICES, INC. NPI is 1558880153. The provider is registered as an organization entity type.

The provider's business location address is:

2215 WILDWOOD AVE
SHERWOOD, AR
ZIP 72120-089
Phone: (501) 238-6560

The provider's authorized official is Yousef Arfan Fahoum .
The authorized official title is Incorporator/organizer and has the following contact phone number (501) 238-6560.

The enumeration date for this NPI number is 9/14/2017 and was last updated on 3/17/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0850XClinic/CenterAdult Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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