Individual provider Active NPI

Rebecca Alycson Aldea, PHD

  • Clinical Psychologist
  • Little Rock, AR
National Provider Identifier
1972747228
Registry record updated Dec 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
15-07 AP-PL Issued in AR
Practice address
305 S Palm St
Little Rock, AR 72205-5432
Phone
(501) 686-9000
NPI assigned
Apr 29, 2009
Last updated
Dec 10, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230228002601 AR Practitioner - Clinical Psychologist 2163729724 Reassigns benefits to 1 organization

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
State of ArkansasGroup PAC ID 6507863958, 18 clinicians

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

LicenseStateTypeSpecialty
15-07 AP-PLARMDClinical 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

Verify at the official NPI Registry.