Provider Demographics
| NPI: | 1265658215 |
|---|---|
| Name: | COMMUNICATION MADE EASY INC |
| Entity type: | Organization |
| Organization Name: | COMMUNICATION MADE EASY INC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | PRESIDENT |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | NICOLE |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | POTTS |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 870-930-6372 |
| Mailing Address - Street 1: | 151 SOUTHWEST DR |
| Mailing Address - Street 2: | |
| Mailing Address - City: | JONESBORO |
| Mailing Address - State: | AR |
| Mailing Address - Zip Code: | 72401-5828 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 870-930-6358 |
| Mailing Address - Fax: | 870-930-9336 |
| Practice Address - Street 1: | 151 SOUTHWEST DR |
| Practice Address - Street 2: | |
| Practice Address - City: | JONESBORO |
| Practice Address - State: | AR |
| Practice Address - Zip Code: | 72401-5828 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 870-930-6358 |
| Practice Address - Fax: | 870-930-9336 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2007-04-18 |
| Last Update Date: | 2024-05-15 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | Group - Multi-Specialty | |
| No | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Group - Multi-Specialty | |
| No | 103T00000X | Behavioral Health & Social Service Providers | Psychologist | Group - Multi-Specialty | |
| No | 103TC2200X | Behavioral Health & Social Service Providers | Psychologist | Clinical Child & Adolescent | Group - Multi-Specialty |
| No | 104100000X | Behavioral Health & Social Service Providers | Social Worker | Group - Multi-Specialty | |
| No | 222Q00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Developmental Therapist | Group - Multi-Specialty | |
| No | 224Z00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapy Assistant | Group - Multi-Specialty | |
| No | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Group - Multi-Specialty | |
| No | 225200000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapy Assistant | Group - Multi-Specialty |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| AR | 155837742 | Medicaid | |
| AR | 5F308 | Other | BCBS NUMBER |