Active NPI
Alison N Tait, PHD
- Clinical Psychologist
- Rogers, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 16-21P
- Practice address
- 3333 S Pinnacle Hills Pkwy Ste 435
Rogers, AR 72758-9095 - Phone
- (479) 235-4146
- NPI assigned
- Jun 26, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 16-21P | AR | Primary |
| Clinical Psychologist | 103TC0700X | 261 | ND |
Addresses
Primary practice location
3333 S Pinnacle Hills Pkwy Ste 435
Rogers, AR 72758-9095
Mailing address
3333 S Pinnacle Hills Pkwy Ste 435
Rogers, AR 72758-9095
Phone (479) 235-4146
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18125 | Medicaid | ND | |
| 867817100 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180718001385 | AR | Practitioner - Clinical Psychologist | 1153354600 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- South Wind Psychological Services
Practice addresses (Care Compare)
3333 S Pinnacle Hills Pkwy
Suite 435
Rogers, AR 72758-9095
Phone (479) 235-4146
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chenal Family Therapy, PLC | Current | Accepting new patients | |
| South Wind Psychological Services | Current | Accepting new patients | |
| Transitions Counseling Clinic PLC | Clinical | Past | Accepting new patients |
Locations
803 SE Plaza Ave
Ste 7
Bentonville, AR 72712
304 W Collin Raye Dr
Ste 103A
De Queen, AR 71832
Phone (870) 200-9294
10311 W Markham St
Little Rock, AR 72205
Phone (501) 681-3300
3333 S Pinnacle Hills Pkwy
Ste 435
Rogers, AR 72758
Phone (479) 235-4146
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Rogers, AR
- NPI 1205369824
AR
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714780800000",
"number": "1366479669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 S PINNACLE HILLS PKWY STE 435",
"city": "ROGERS",
"state": "AR",
"postal_code": "727589095",
"telephone_number": "479-235-4146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 S PINNACLE HILLS PKWY STE 435",
"city": "ROGERS",
"state": "AR",
"postal_code": "727589095",
"telephone_number": "479-235-4146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAIT",
"first_name": "ALISON",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-26",
"last_updated": "2024-05-04",
"certification_date": "2024-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AR",
"license": "16-21P",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "ND",
"license": "261",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "18125",
"state": "ND"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "867817100",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rogers, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.