Organization Active NPI

Tara M. Cole, PH.D., P.a.

  • Clinical Psychologist
  • Bentonville, AR
National Provider Identifier
1619307204
Registry record updated Nov 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
09-14P Issued in AR
Legal business name
TARA M. COLE, PH.D., P.A.
Practice address
3214 NW Avignon Way
Suite 2
Bentonville, AR 72712-3916
Phone
(479) 271-8778
Fax
(888) 207-6093
NPI assigned
Nov 18, 2013
Last updated
Nov 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2013

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

Authorized official

Name
Tara M Cole, PH.D.
Title
President
Phone
(479) 271-8778

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 09-14P AR Primary

Addresses

Primary practice location

3214 NW Avignon Way
Suite 2
Bentonville, AR 72712-3916

Mailing address

3214 NW Avignon Way
Suite 2
Bentonville, AR 72712-3916
Phone (479) 271-8778

National Provider Directory

National Provider Directory

Locations

3214 NW Avignon Way
Ste 2
Bentonville, AR 72712
Phone (479) 271-8778

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384732800000",
    "number": "1619307204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3214 NW AVIGNON WAY",
            "address_2": "SUITE 2",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123916",
            "telephone_number": "479-271-8778",
            "fax_number": "888-207-6093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3214 NW AVIGNON WAY",
            "address_2": "SUITE 2",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123916",
            "telephone_number": "479-271-8778",
            "fax_number": "888-207-6093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARA M. COLE, PH.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-18",
        "last_updated": "2013-11-18",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-271-8778",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AR",
            "license": "09-14P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bentonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.