Rebecca L Tilley, PSY D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

10-04P Issued in AR

Practice address

2101 Old Congo Rd
Suite F900
Benton, AR 72015

Phone

(501) 794-6557

Fax

(501) 794-6545

NPI assigned

Mar 29, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mrs. Rebecca L Schlau Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Saline Psychological Services Inc.

  • Clinical Psychologist
  • Benton, AR
  • NPI 1609386770
  Medicare reassignment NPD
• Bryant Psychology and Behavioral Health

  • Psychologist
  • Bryant, AR
  • NPI 1790039949
  NPD (past)
• Layton Psychology PLLC

  • Clinical Psychologist
  • Bryant, AR
  • NPI 1962274449
  NPD (past)

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

{
    "created_epoch": "1269820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1851616239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 OLD CONGO RD",
            "address_2": "SUITE F900",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "72015",
            "telephone_number": "501-794-6557",
            "fax_number": "501-794-6545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 OLD CONGO RD",
            "address_2": "SUITE F900",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "72015",
            "telephone_number": "501-794-6557",
            "fax_number": "501-794-6545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLEY",
        "first_name": "REBECCA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "PSY D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-29",
        "last_updated": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AR",
            "license": "10-04P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "10-04P",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "salinepsych@att.net",
            "affiliation": "N",
            "endpointDescription": "clinicl email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email address",
            "address_1": "1212 Military Rd Ste D",
            "city": "Benton",
            "state": "AR",
            "country_code": "US",
            "postal_code": "720152845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "SCHLAU",
            "middle_name": "L",
            "prefix": "MRS.",
            "credential": "PSY D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Erica Nicole Threet, B.A.
• Marcus Threlkeld, RECOVERY ASSISTANT
• Jason D Thurman
• Anthony Tidwell, RECOVERY ASSISTANT
• Melissa Marie Tietze, COTA
• Chanel Tillman
• Jim Tindall, CMP
• Kristyle Tiner
• Corey Wayne Tinkle, MS PT
• Brittany Tittle, RECOVERY ASSISTANT

• Clinical Psychologist in Benton, AR
• Providers in Benton, AR by specialty
• Clinical Psychologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.