Active NPI
Talbot & Debriyn Behavioral Health, LLC
- Community/Behavioral Health Agency
- Fort Smith, AR
National Provider Identifier
1801345624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000000 | Other | AR | NONE |
National Provider Directory
National Provider DirectoryLocations
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.