Ray Beyond Behavioral Corp

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

RAY BEYOND BEHAVIORAL CORP

Practice address

211 SE 34TH St Ste 7
Bentonville, AR 72712-4199

Phone

(615) 880-5782

Fax

(615) 815-1946

NPI assigned

Jan 3, 2023

Organization subpart

No

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

Authorized official

Name

Jessica Kirk

Title

Revenue Cycle Manager

Phone

(615) 880-5782

Specialties & licenses 2

Addresses

Other names 1

• Surpass Behavioral Health Doing business as

Electronic endpoints 1

Locations

Practitioners 1

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

• Mariah Mazzariello

  • Behavior Technician
  • Fredericksburg, VA
  • NPI 1003323056
  NPD (past)

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

{
    "created_epoch": "1672704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694736000000",
    "number": "1417660655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 931142",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311931142",
            "telephone_number": "615-696-6761",
            "fax_number": "615-880-5782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 SE 34TH ST STE 7",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727124199",
            "telephone_number": "615-880-5782",
            "fax_number": "615-815-1946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAY BEYOND BEHAVIORAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-03",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A",
        "authorized_official_last_name": "KIRK",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "615-880-5782"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "managecare@surpassbh.com",
            "affiliation": "N",
            "endpointDescription": "general email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "211 SE 34th St Ste 7",
            "city": "Bentonville",
            "state": "AR",
            "country_code": "US",
            "postal_code": "727124199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Surpass Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Surpass Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Suman S. Rao, MD
• Anthony Raphael Jr., MHPP
• Rapid Results Diagnostics LLC
• Emily Renee Rasmussen-Stallcup, LPTA
• Kristen Elizabeth Ravi
• Shana D Ray, MHPP
• Shelly Reaves, LPC, LADAC, MAC, SAP
• Rebecca C. Bryan D.D.S.,P. a.
• Laura D Reed, MHPP
• Lynn Addie Reed

• Community/Behavioral Health Agency in Bentonville, AR
• Providers in Bentonville, AR by specialty
• Community/Behavioral Health Agency in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; 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.