NPIMap

Organization Active NPI

United Methodist Children's Home

Doing business as Day Treatment

  • Behavior Analyst
  • Benton, AR
National Provider Identifier
1164851135
Registry record updated Nov 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
UNITED METHODIST CHILDREN'S HOME
Doing business as
Day Treatment
Practice address
410 River St
Benton, AR 72015-4206
Phone
(501) 661-0720
NPI assigned
Nov 11, 2013
Last updated
Nov 11, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2013

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

Authorized official

Name
Regina Gideon
Title
Credentialing Coordinator
Phone
(501) 661-0720

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

410 River St
Benton, AR 72015-4206

Mailing address

PO Box 56050
Little Rock, AR 72215-6050

Other names 1

  • Day Treatment Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ar Cares9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

410 River St
Benton, AR 72015
Phone (501) 217-0183

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1384128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384128000000",
    "number": "1164851135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 56050",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722156050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 RIVER ST",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720154206",
            "telephone_number": "501-661-0720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED METHODIST CHILDREN'S HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-11",
        "last_updated": "2013-11-11",
        "status": "A",
        "authorized_official_last_name": "GIDEON",
        "authorized_official_first_name": "REGINA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "501-661-0720"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Day Treatment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Benton, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2013; 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.