Organization Active NPI

Talbot & Debriyn Behavioral Health, LLC

  • Community/Behavioral Health Agency
  • Fort Smith, AR
National Provider Identifier
1801345624
Registry record updated Sep 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
TALBOT & DEBRIYN BEHAVIORAL HEALTH, LLC
Practice address
1618 N a St
Fort Smith, AR 72901-3230
Phone
(479) 466-6021
NPI assigned
Sep 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2016

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

Authorized official

Name
Todd Debriyn
Title
Owner
Phone
(479) 466-6021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1618 N a St
Fort Smith, AR 72901-3230

Mailing address

1905 S River Meadows Driver
Fayetteville, AR 72701-7872

Other identifiers 1

IdentifierTypeStateIssuer
000000000OtherARNONE

National Provider Directory

National Provider Directory

Locations

1618 N A St
Fort Smith, AR 72901
Phone (479) 466-6021

NPI Registry JSON

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

{
    "created_epoch": "1474502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474502400000",
    "number": "1801345624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 S RIVER MEADOWS DRIVER",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727017872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1618 N A ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729013230",
            "telephone_number": "479-466-6021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALBOT & DEBRIYN BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-22",
        "last_updated": "2016-09-22",
        "status": "A",
        "authorized_official_last_name": "DEBRIYN",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-466-6021"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "000000000",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; 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.