Spectrum Living Solutions

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SPECTRUM LIVING SOLUTIONS

Practice address

3677 W Weir Rd
Fayetteville, AR 72704-5906

Phone

(479) 871-2481

NPI assigned

Feb 5, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ashton P McCombs III

Title

Board Chairman

Phone

(630) 248-8892

Specialties & licenses 1

Addresses

Other names 1

• SLS Community Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Ann McIntyre, BCBA

  • Behavior Analyst
  • Fayetteville, AR
  • NPI 1134764780
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580860800000",
    "number": "1003448309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4375 N VANTAGE DR STE 104",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034986",
            "telephone_number": "630-717-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3677 W WEIR RD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727045906",
            "telephone_number": "479-871-2481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM LIVING SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-05",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A",
        "authorized_official_last_name": "MCCOMBS",
        "authorized_official_first_name": "ASHTON",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "BOARD CHAIRMAN",
        "authorized_official_telephone_number": "630-248-8892",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SLS Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Demetria Andreyelle Spearman
• Nina Valencia Spearmon, LSW/CCM
• Kari Renae Spears, LCSW
• Katherine L Spears, APRN
• Michael Spears, MHPP
• Speech Therapy for Kids Inc.
• Emily Spence
• Hannah Spence, FNP
• Abigail Spencer, LPC
• Alec Spencer, D.C.

• Community/Behavioral Health Agency in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Community/Behavioral Health Agency in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.