Active NPI
Rebecca Meredith Storment, PHD
- Clinical Psychologist
- Fayetteville, AR
National Provider Identifier
1922537695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 202134
- Practice address
- 100 W Center St Ste 203
Fayetteville, AR 72701-6081 - Phone
- (479) 348-4221
- Fax
- (479) 334-3223
- NPI assigned
- Jun 7, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 202134 | AR | Primary |
Addresses
Primary practice location
100 W Center St Ste 203
Fayetteville, AR 72701-6081
Mailing address
100 W Center St Ste 203
Fayetteville, AR 72701-6081
Phone (479) 348-4221
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202134 | Other | AR | STATE PSYCHOLOGY LICENSE |
Other names 1
- Dr. Rebecca Meredith Storment
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 27, 2024 through Feb 27, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202134 | AR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774310400000",
"number": "1922537695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 W CENTER ST STE 203",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727016081",
"telephone_number": "479-348-4221",
"fax_number": "479-334-3223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 W CENTER ST STE 203",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727016081",
"telephone_number": "479-348-4221",
"fax_number": "479-334-3223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STORMENT",
"first_name": "REBECCA",
"middle_name": "MEREDITH",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-07",
"last_updated": "2026-03-24",
"certification_date": "2026-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AR",
"license": "202134",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE PSYCHOLOGY LICENSE",
"identifier": "202134",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "REBECCA",
"last_name": "STORMENT",
"middle_name": "MEREDITH",
"prefix": "DR.",
"credential": "PHD",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.