Healthcare Provider Details

I. General information

NPI: 1225971674
Provider Name (Legal Business Name): CHRISTOPHER RANKIN MAGNANTE PSYD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: CHRIS MAGNANTE PSYD

II. Dates (important events)

Enumeration Date: 04/10/2026
Last Update Date: 04/10/2026
Certification Date: 04/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 FORT ROOTS DR
NORTH LITTLE ROCK AR
72114-1709
US

IV. Provider business mailing address

2200 FORT ROOTS DR
NORTH LITTLE ROCK AR
72114-1709
US

V. Phone/Fax

Practice location:
  • Phone: 501-257-1516
  • Fax:
Mailing address:
  • Phone: 501-257-1516
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number202432
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: