Active NPI
Andrew Douglas Reichert, PHD
- Counseling Psychologist
- Bentonville, AR
National Provider Identifier
1245590702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 11-26P
- Practice address
- 3214 NW Avignon Way
# 2
Bentonville, AR 72712-3916 - Phone
- (979) 575-4971
- NPI assigned
- May 17, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 11-26P | AR | Primary |
| Counseling Psychologist | 103TC1900X | 35148 | TX |
Addresses
Primary practice location
3214 NW Avignon Way
# 2
Bentonville, AR 72712-3916
Mailing address
435 N Garland Ave
# 2700
Fayetteville, AR 72701-4030
Phone (979) 575-4971
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11-26P | AR | MD | Counseling Psychologist |
| 35148 | TX | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337212800000",
"number": "1245590702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "435 N GARLAND AVE",
"address_2": "# 2700",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727014030",
"telephone_number": "979-575-4971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3214 NW AVIGNON WAY",
"address_2": "# 2",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727123916",
"telephone_number": "979-575-4971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REICHERT",
"first_name": "ANDREW",
"middle_name": "DOUGLAS",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-05-17",
"last_updated": "2012-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "AR",
"license": "11-26P",
"primary": true
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "TX",
"license": "35148",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bentonville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.