Active NPI
Bernadette Rebecca Rockwell, M.S.
- Psychologist
- Benton, AR
National Provider Identifier
1184958274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 9424EI
- Practice address
- 1710 Cedarhurst
Benton, AR 72015 - Phone
- (501) 909-9036
- NPI assigned
- Sep 23, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | T1873 | AR | |
| Psychologist | 103T00000X | 9424EI | AR | Primary |
| School Psychologist | 103TS0200X | 29696 | AR |
Addresses
Primary practice location
1710 Cedarhurst
Benton, AR 72015
Mailing address
1710 Cedarhurst
Benton, AR 72015
Phone (501) 909-9036
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9424EI | AR | MD | Psychologist |
| T1873 | AR | MD | Psychologist |
| 29696 | AR | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363219200000",
"number": "1184958274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1710 CEDARHURST",
"city": "BENTON",
"state": "AR",
"postal_code": "72015",
"telephone_number": "501-909-9036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1710 CEDARHURST",
"city": "BENTON",
"state": "AR",
"postal_code": "72015",
"telephone_number": "501-909-9036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROCKWELL",
"first_name": "BERNADETTE",
"middle_name": "REBECCA",
"name_prefix": "Mrs.",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-23",
"last_updated": "2013-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "AR",
"license": "T1873",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "AR",
"license": "9424EI",
"primary": true
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "AR",
"license": "29696",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Mar 14, 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.