Organization Active NPI

Alliant Behavioral Health LLC

  • Clinical Psychologist
  • Benton, AR
National Provider Identifier
1649560376
Registry record updated Apr 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
10-25P Issued in AR
Legal business name
ALLIANT BEHAVIORAL HEALTH LLC
Practice address
1511 W Sevier St
Benton, AR 72019-2437
Phone
(501) 205-0703
Fax
(501) 778-4889
NPI assigned
Apr 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2011

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

Authorized official

Name
Dr. Shannon Douglas Parsons, PSY.D.
Title
Owner
Phone
(501) 205-0703

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 10-25P AR Primary

Addresses

Primary practice location

1511 W Sevier St
Benton, AR 72019-2437

Mailing address

PO Box 280
Benton, AR 72018-0280
Phone (501) 205-0703

National Provider Directory

National Provider Directory

Locations

1511 W Sevier St
Ste C
Benton, AR 72019
Phone (501) 205-0703

204 Woodland
Benton, AR 72019
Phone (501) 205-0703

127 W 5th St
Malvern, AR 72104
Phone (501) 205-0703

910 Dyer St
Malvern, AR 72104
Phone (501) 205-0703

NPI Registry JSON

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

{
    "created_epoch": "1302739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302739200000",
    "number": "1649560376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 280",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720180280",
            "telephone_number": "501-205-0703",
            "fax_number": "501-778-4889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 W SEVIER ST",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720192437",
            "telephone_number": "501-205-0703",
            "fax_number": "501-778-4889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANT BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-14",
        "last_updated": "2011-04-14",
        "status": "A",
        "authorized_official_last_name": "PARSONS",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-205-0703",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "AR",
            "license": "10-25P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benton, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2011; 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.