Provider Demographics
NPI:1700992807
Name:JAMES M. SIMS M.D. DBA MCCAIN PSYCHOTHERAPY CENTER
Entity Type:Organization
Organization Name:JAMES M. SIMS M.D. DBA MCCAIN PSYCHOTHERAPY CENTER
Other - Org Name:JAMES M SIMS MD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:MANNON
Authorized Official - Last Name:SIMS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:501-758-9993
Mailing Address - Street 1:3805 MCCAIN PARK DR
Mailing Address - Street 2:SUITE 116
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AK
Mailing Address - Zip Code:72116
Mailing Address - Country:US
Mailing Address - Phone:501-758-9993
Mailing Address - Fax:501-758-5321
Practice Address - Street 1:3805 MCCAIN PARK DR
Practice Address - Street 2:SUITE 116
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AK
Practice Address - Zip Code:72116
Practice Address - Country:US
Practice Address - Phone:501-758-9993
Practice Address - Fax:501-758-5321
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-22
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARC30432084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5C254Medicare PIN
ARCK3557Medicare PIN