JEROME GLYNN DIE PH.D.
NPI 1609919612
Psychologist - Clinical in Little Rock, AR

NPI Status: Active since February 15, 2007

Contact Information

5 SAINT VINCENT CIR
SUITE 302
LITTLE ROCK, AR
ZIP 72205
Phone: (501) 666-5242
Fax: (501) 666-2430

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  • Individual
  • Male
  • Psychologist
  • Clinical
  • PECOS Enrolled

About JEROME DIE

This page provides the complete NPI Profile along with additional information for Jerome Die, a provider established in Little Rock, Arkansas with a medical specialization in Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1609919612 assigned on February 2007. The practitioner's primary taxonomy code is 103TC0700X with license number 92-25P (AR). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1609919612
Provider Name
JEROME GLYNN DIE PH.D.
Gender
Male
Entity Type
Individual
Location Address
5 SAINT VINCENT CIR SUITE 302 LITTLE ROCK, AR 72205
Location Phone
(501) 666-5242
Location Fax
(501) 666-2430
Mailing Address
5 SAINT VINCENT CIR SUITE 302 LITTLE ROCK, AR 72205
Mailing Phone
(501) 666-5242
Mailing Fax
(501) 666-2430
Is Sole Proprietor?
Yes
Enumeration Date
02-15-2007
Last Update Date
07-08-2007
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A clinical psychologist like Jerome Die assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Clinical

Taxonomy Code
103TC0700X
Type
Behavioral Health & Social Service Providers
License No.
92-25P
License State
AR
Taxonomy Description
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1103TC0700XBehavioral Health & Social Service Providers

Psychologist
Clinical

21056 (TX)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
5S560MEDICARE ID-TYPE UNSPECIFIED (04)AR 

Medicare Participation & PECOS Enrollment Status

Jerome Die is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 72205 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99205

  • Average New Patient Price $157.74
  • Minimum New Patient Price $51.36
  • Maximum New Patient Price $157.74
  • Average New Patient Copayment $39.43
  • Minimum New Patient Copayment $12.84
  • Maximum New Patient Copayment $39.43

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $91.63
  • Minimum Established Patient Price $16.16
  • Maximum Established Patient Price $128.77
  • Average Established Patient Copayment $22.9
  • Minimum Established Patient Copayment $4.04
  • Maximum Established Patient Copayment $32.19

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1609919612
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26091811862
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 1 + 8 + 1 + 1 + 8 + 6 + 2 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1609919612 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1275529851 CAROL W CHAPPELL MD
Individual
Ophthalmology5 SAINT VINCENT CIR STE 200
LITTLE ROCK, AR 72205
(501) 661-1123
1851358089MRS. DEBRA FOGELMAN WILLIAMSON PT
Individual
Physical Therapist (Orthopedic)5 SAINT VINCENT CIR STE 100
LITTLE ROCK, AR 72205
(501) 663-6455
1033295878DR. CHARLES J WATKINS M.D.
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)5 SAINT VINCENT CIR SUITE 501
LITTLE ROCK, AR 72205
(501) 666-2894
1164568598DR. THOMAS CHRISTIAN STINNETT M.D.
Individual
Psychiatry & Neurology (Psychiatry)5 SAINT VINCENT CIR SUITE 302
LITTLE ROCK, AR 72205
(501) 666-5242
1912034836MR. STUART ALAN CLARK L.C.S.W.
Individual
Social Worker (Clinical)5 SAINT VINCENT CIR SUITE 302
LITTLE ROCK, AR 72205
(501) 666-5242
1336331057HAROLD H. CHAKALES, M. D., P. A.
Organization
Exclusive Provider Organization5 SAINT VINCENT CIR SUITE 300
LITTLE ROCK, AR 72205
(501) 664-1500
1861653776CAROL W. CHAPPELL, M.D.
Organization
Ophthalmology5 SAINT VINCENT CIR SUITE 200
LITTLE ROCK, AR 72205
(501) 661-1123
1003170085 JUSTIN SCOTT SHIPP ATC, CSCS
Individual
Specialist/Technologist (Athletic Trainer)5 SAINT VINCENT CIR
LITTLE ROCK, AR 72205
(501) 259-2149
1932448792ARKANSAS OPHTHALMOLOGY ASSOCIATES, P.A.
Organization
Ophthalmology5 SAINT VINCENT CIR SUITE 200
LITTLE ROCK, AR 72205
(501) 661-1123
1629470521LITTLE ROCK NEUROSURGERY CLINIC
Organization
Nurse Practitioner5 SAINT VINCENT CIR SUITE 502
LITTLE ROCK, AR 72205
(501) 558-0200
1467832170 KEITH SHOLES
Individual
Pharmacist5 SAINT VINCENT CIR
LITTLE ROCK, AR 72205
(501) 664-4466
1376903823 SHANNON DIANE HOEY APRN
Individual
Nurse Practitioner (Acute Care)5 SAINT VINCENT CIR SUITE 501
LITTLE ROCK, AR 72205
(501) 666-2894
1750450607BLANDFORD PHARMACY
Organization
Pharmacy (Community/Retail Pharmacy)5 SAINT VINCENT CIR STE 110
LITTLE ROCK, AR 72205
(501) 664-4466
1063050573MGH SURGICALIST PLLC
Organization
Surgery (Trauma Surgery)5 SAINT VINCENT CIR
LITTLE ROCK, AR 72205
(813) 530-5043
1073522611BLANDFORD OPTICAL SHOP
Organization
Eyewear Supplier5 SAINT VINCENT CIR SUITE 101
LITTLE ROCK, AR 72205
(501) 664-6123
1992714521BLANDFORD EYECARE & SURGERY
Organization
Ophthalmology5 SAINT VINCENT CIR SUITE 101
LITTLE ROCK, AR 72205
(501) 664-5354
1730292418SEYMOUR OPERATIONS
Organization
Clinic/Center (Ambulatory Surgical)5 SAINT VINCENT CIR SUITE 101
LITTLE ROCK, AR 72205
(501) 664-5354
1316072184THOMAS C. STINNETT , M.D.,P.A.
Organization
Psychologist5 SAINT VINCENT CIR SUITE 302
LITTLE ROCK, AR 72205
(501) 666-5242
1346551314 THURSTON MATTHEW BAUER MD
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)5 SAINT VINCENT CIR SUITE 501
LITTLE ROCK, AR 72205
(501) 666-2894
1285487025 NATHAN MOONEY
Individual
Specialist/Technologist (Athletic Trainer)5 SAINT VINCENT CIR
LITTLE ROCK, AR 72205
(501) 663-6455

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609919612, enumerated in the NPI registry as an "individual" on February 15, 2007

The provider is located at 5 Saint Vincent Cir Suite 302 Little Rock, Ar 72205 and the phone number is (501) 666-5242

The provider's speciality is Psychologist with taxonomy code 103TC0700X with a focus in Clinical

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

Medicare beneficiaries should expect a typical cost of $157.74 with an average copayment of $39.43 for new patient appointments. Established patients should expect a typical charge of $91.63 and an average copayment of 22.9. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on February 15, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.