Elizabeth Chaisson, PHD, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

AR-PL 15-03P Issued in AR

Legal business name

ELIZABETH CHAISSON, PHD, LLC

Practice address

1 W Mountain St
Suite 307
Fayetteville, AR 72701-6068

Phone

(479) 422-5712

NPI assigned

Apr 4, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth Chaisson, PHDNPI 1265950034

Title

Licensed Psychologist

Phone

(479) 422-5712

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Elizabeth Chaisson, PHD

  • Clinical Psychologist
  • Fayetteville, AR
  • NPI 1265950034
  NPD (past) Authorized official

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491264000000",
    "number": "1316470735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W MOUNTAIN ST",
            "address_2": "SUITE 307",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727016068",
            "telephone_number": "479-422-5712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W MOUNTAIN ST",
            "address_2": "SUITE 307",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727016068",
            "telephone_number": "479-422-5712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH CHAISSON, PHD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-04",
        "last_updated": "2017-04-04",
        "status": "A",
        "authorized_official_last_name": "CHAISSON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "479-422-5712",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "AR",
            "license": "AR-PL 15-03P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda M Ekman, MD
• Eldirect in Home Senior Care
• Ashley Eldredge
• Elevate Muscle & Joint
• Elite Chiropractic Health & Rehabilitation, PLLC
• Elizabeth E Knowles, PH.D., PA
• Elkins Complete Care
• Julie A Ellenbarger
• Paula Edith Ellington
• Linzy Michele Elliott, APRN

• Psychologist in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Psychologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; 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.