Active NPI
Rebecca Alycson Aldea, PHD
- Clinical Psychologist
- Little Rock, AR
National Provider Identifier
1972747228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 15-07 AP-PL
- Practice address
- 305 S Palm St
Little Rock, AR 72205-5432 - Phone
- (501) 686-9000
- NPI assigned
- Apr 29, 2009
- Last updated
- Dec 10, 2015
- 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 | 15-07 AP-PL | AR | Primary |
Addresses
Primary practice location
305 S Palm St
Little Rock, AR 72205-5432
Mailing address
305 S Palm St
Little Rock, AR 72205-5432
Phone (501) 686-9000
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
305 S Palm St
Little Rock, AR 72205-5432
Phone (501) 686-9585
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15-07 AP-PL | AR | MD | Clinical Psychologist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449705600000",
"number": "1972747228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 S PALM ST",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722055432",
"telephone_number": "501-686-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 S PALM ST",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722055432",
"telephone_number": "501-686-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALDEA",
"first_name": "REBECCA",
"middle_name": "ALYCSON",
"name_prefix": "Mrs.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-29",
"last_updated": "2015-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AR",
"license": "15-07 AP-PL",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; 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.