Active NPI
Tricia M Benish, P-LPE
- Psychologist
- Bryant, AR
National Provider Identifier
1538314281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 10-20P
- Practice address
- 23111 Interstate 30
Bryant, AR 72022-2570 - Phone
- (501) 847-5040
- Fax
- (501) 847-5060
- NPI assigned
- Nov 21, 2008
- Last updated
- May 16, 2019
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 09-02 AU-PL | AR | |
| Psychologist | 103T00000X | 10-20P | AR | Primary |
Addresses
Primary practice location
23111 Interstate 30
Bryant, AR 72022-2570
Mailing address
23111 Interstate 30
Bryant, AR 72022-2570
Phone (501) 847-5040
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09-02 AU-PL | AR | MD | Psychologist |
| 10-20P | AR | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bryant Psychology and Behavioral Health | Psychologist | Past | Accepting new patients |
| Layton Psychology PLLC | Psychologist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychologist
- Bryant, AR
- NPI 1790039949
-
- Clinical Psychologist
- Bryant, AR
- NPI 1962274449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557964800000",
"number": "1538314281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23111 INTERSTATE 30",
"city": "BRYANT",
"state": "AR",
"postal_code": "720222570",
"telephone_number": "501-847-5040",
"fax_number": "501-847-5060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23111 INTERSTATE 30",
"city": "BRYANT",
"state": "AR",
"postal_code": "720222570",
"telephone_number": "501-847-5040",
"fax_number": "501-847-5060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENISH",
"first_name": "TRICIA",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "P-LPE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-21",
"last_updated": "2019-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "AR",
"license": "09-02 AU-PL",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "AR",
"license": "10-20P",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bryant, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.