Randall Staley, MD
Randall Staley, MD is a Child & Adolescent Psychiatry Physician in Springdale, AR, registered under NPI 1295918449. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 4700 S THOMPSON ST STE C103, Springdale, AR 72764. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| E-6379 | AR | Child & Adolescent Psychiatry Physician primary |
| E-6379 | AR | Psychiatry Physician |
This provider holds licence E-6379 issued in AR. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Psychiatry
- PAC ID
- 5193982908
- Enrollment ID
- I20120207000316
Medicare enrolment is recorded as approved under the provider type Practitioner - Psychiatry. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Child & Adolescent Psychiatry covers
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. NUCC Health Care Provider Taxonomy, code 2084P0804X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2084P0804X | Child & Adolescent Psychiatry Physician Child & Adolescent Psychiatry | E-6379 | AR | primary |
| 2084P0800X | Psychiatry Physician Psychiatry | E-6379 | AR |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1295918449 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Dec 11, 2007 |
| Last updated | Aug 15, 2024 |
| Status | Active |
| Sole proprietor | No |
| Credential | MD |
| Practice address |
4700 S THOMPSON ST STE C103 Springdale, AR 72764 (479) 571-6363 Fax (479) 684-3941 |
| Mailing address |
PO BOX 1523 Fayetteville, AR 72702 |
| Other identifiers |
E6379
· Other (AR) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 2 | 9 | 5 | 9 | 1 | 8 | 4 | 4 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 2 | 9 | 5 | 9 | 1 | 7 | 4 | 8 |
Sum = 71 · next multiple of 10 = 80 · check digit = 9 · actual last digit = 9
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.