Becky D. Parker, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

05-19P Issued in AR

Practice address

2755 E Kantz Dr
Fayetteville, AR 72703-3212

Phone

(479) 444-8989

Fax

(479) 444-7545

NPI assigned

Jan 27, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Parker Psychology & Counseling Associates

  • Clinical Social Worker
  • Fayetteville, AR
  • NPI 1114073459
  NPD (past) Authorized official

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

{
    "created_epoch": "1169856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487700720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 N WHEELER AVE",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727032633",
            "telephone_number": "479-444-8989",
            "fax_number": "479-444-7545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 E KANTZ DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727033212",
            "telephone_number": "479-444-8989",
            "fax_number": "479-444-7545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "BECKY",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AR",
            "license": "05-19P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jong Park, MD
• Josephine H. Park, M.D.
• Parker Psychology & Counseling Associates
• Alison Parker, M.S., CFY-SLP
• Anna Parker, PHARMD
• Craig H. Parker, M.S.W., L.C.S.W.
• Dylan Parker
• Alyssa Parkhill
• Tiffany Dawn Parkhurst, MHPP
• Colby Beth Parks, PTA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.