Beans Therapy and Special Needs Clinic

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

BEANS THERAPY AND SPECIAL NEEDS CLINIC

Practice address

1220 Stone St
Jonesboro, AR 72401-4519

Phone

(870) 933-1989

Fax

(870) 268-6705

NPI assigned

Oct 4, 2013

Last updated

Oct 4, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Patrick Bean

Title

Owner

Phone

(870) 933-1989

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Beans Therapy and Special Needs Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Beans Therapy and Special Needs Clinic

  • Speech-Language Pathologist
  • Jonesboro, AR
  • NPI 1427434539
  NPD tax ID

Locations

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

{
    "created_epoch": "1380844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380844800000",
    "number": "1558798538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 STONE ST",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014519",
            "telephone_number": "870-933-1989",
            "fax_number": "870-268-6705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 STONE ST",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014519",
            "telephone_number": "870-933-1989",
            "fax_number": "870-268-6705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEANS THERAPY AND SPECIAL NEEDS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-04",
        "last_updated": "2013-10-04",
        "status": "A",
        "authorized_official_last_name": "BEAN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-933-1989",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keyston Beamon
• Bean Tots and Toddlers
• Patrick Bean
• Bean's Tots and Toddlers Learning Center
• Beans Therapy and Special Needs Clinic
• Kiah Faith Beard
• Emily Beardsley, RN
• Mikala Beare
• Sandra Beasley Daniels, QBHP
• Haley Lynne Beasley

• Exclusive Provider Organization in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Exclusive Provider Organization in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; 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.