TRESTLETREE, LLC (NPI# 1598291478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598291478 |
| Entity Type | Organization |
| Organization Name | TRESTLETREE, LLC |
| Practice Address |
3715 N Business Dr Suite 202 Fayetteville AR 72703-5204 |
| Practice Telephone | 4795820777 |
| Practice Fax Number | 4795820778 |
| Mailing Telephone | 4795820777 |
| Mailing Fax Number | 4795820778 |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |
| Authorized Official Name | MR. TED R BORGSTADT (PRESIDENT) |
| Authorized Official Telephone | 4795820777 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 133N00000X | Nutritionist | Dietary & Nutritional Service Providers | ||
| N | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers | ||
| N | 163W00000X | Registered Nurse | Nursing Service Providers | ||
| N | 174H00000X | Health Educator | Other Service Providers | ||
| N | 183500000X | Pharmacist | Pharmacy Service Providers | ||
| N | 224Y00000X | Clinical Exercise Physiologist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | TRESTLETREE, LLC | 1500 W. Park Dr. Ste. 330, Health Plans, Inc., Westborough, MA 01581 |
| Connecticut Business Registrations | TRESTLETREE, LLC | 1500 West Park Drive, Suite 330, Westborough, MA 01581 |
| Colorado Business Entities | TRESTLETREE, LLC | 1500 West Park Drive, Suite 330, Westborough, MA 01581 |
| Street Address |
3715 N BUSINESS DR SUITE 202 |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72703-5204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104806702 | Robert David Cannon | Pain Medicine | 3715 N Business Dr, Suite #101, Fayetteville, AR 72703-5204 | 2006-01-19 |
| 1518564616 | Luke Rallens | Case Manager/Care Coordinator | 3715 N Business Dr, Fayetteville, AR 72703-5204 | 2020-10-02 |
| 1174163950 | Elizabeth Dena Bell | Licensed Practical Nurse | 3715 N Business Dr, Fayetteville, AR 72703-5204 | 2020-01-09 |
| 1447740535 | Shamekia Daniels | Case Manager/Care Coordinator | 3715 N Business Dr, Fayetteville, AR 72703-5204 | 2018-05-14 |
| 1275035024 | Courtney Denise Bland | Case Manager/Care Coordinator | 3715 N Business Dr, Fayetteville, AR 72703-5204 | 2018-03-07 |
| 1831628528 | Lisa Calabrese | Registered Nurse | 3715 N Business Dr, Fayetteville, AR 72703-5204 | 2017-06-07 |
| 1376072215 | Ashley Michelle Patton | Counselor | 3715 N Business Dr, Fayetteville, AR 72703-5204 | 2017-06-05 |
| 1780111047 | Sean Patton | Health Educator | 3715 N Business Dr, Fayetteville, AR 72703-5204 | 2017-05-17 |
| 1427597673 | Melinda Farris | Case Manager/Care Coordinator | 3715 N Business Dr, Suite104, Fayetteville, AR 72703-5204 | 2017-02-21 |
| 1356885057 | Laquita Owens | Case Manager/Care Coordinator | 3715 N Business Dr, Fayetteville, AR 72703-5204 | 2016-12-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154391 | Margaret Sorrells | Pharmacist | 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 | 2020-11-06 |
| 1497369631 | Justin A Rand | Massage Therapist | 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 | 2020-09-04 |
| 1235777558 | Washington Regional Medical System | Specialist | 3264 N North Hills Blvd, Fayetteville, AR 72703 | 2019-12-17 |
| 1760024582 | Haley Brooke Thompson | Occupational Therapist | 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 | 2019-10-14 |
| 1306492129 | Bhg L, LLC | Clinic/Center | 8 Colt Square Drive, Fayetteville, AR 72703 | 2019-08-16 |
| 1306406269 | Idell Marie Mitchell | Optometrist | Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 | 2019-06-13 |
| 1821574815 | Toni Myer | Nurse Practitioner | 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 | 2018-07-13 |
| 1306340393 | Josh Kelfer | Student in an Organized Health Care Education/Training Program | 1125 North College Avenue, Fayetteville, AR 72703 | 2018-03-22 |
| 1649726449 | Vantage Point of Nwa | Community/Behavioral Health | 4171 N. Crossover Rd, Fayetteville, AR 72703 | 2016-08-31 |
| 1386097137 | Jason Nordstrom | Speech-Language Pathologist | 2664 N Valencia Ave, Fayetteville, AR 72703 | 2016-07-18 |
| Find all providers in zip 72703 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952939811 | A4psychology, Pllc | Psychologist | 596 Executive Pl Ste 201, Fayetteville, NC 28305-5189 | 2020-03-27 |
| 1639725161 | Lauren Rosso | Psychologist | 19 E Mountain St Ste 5, Fayetteville, AR 72701-6067 | 2019-08-12 |
| 1457819963 | Word Wellness Center, LLC | Psychologist | 6836 E Genesee Street, Suite A, Fayetteville, NY 13066 | 2019-03-05 |
| 1912483348 | Young Psychological Services, Pllc | Psychologist | 3800 Sunchase Dr, Fayetteville, NC 28306-8099 | 2018-07-18 |
| 1265951784 | Robert D Felner | Psychologist | 1255 N Montview Dr, Fayetteville, AR 72701-2892 | 2017-09-15 |
| 1851814230 | Blakely Low | Psychologist | 1229 Meadow Street Suite #221, Jones Family Center for Student-athlete Success, Fayetteville, AR 72701 | 2017-07-18 |
| 1528479169 | Rebecca Crain | Psychologist | 2504 Raeford Rd Ste 102, Fayetteville, NC 28305-5135 | 2014-05-16 |
| 1114344330 | Lesley Teitelbaum | Psychologist | 5080 Bridle Path Rd, Fayetteville, NY 13066-9734 | 2014-03-26 |
| 1740605062 | Kimberlee Alane Cooper | Psychologist | 1200 Fairmont Ct, Fayetteville, NC 28304-4403 | 2014-02-24 |
| 1497176093 | Cheryl Funsch Smith | Psychologist | 2031 N Green Acres Rd Ste A, Fayetteville, AR 72703-2619 | 2013-12-27 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 72703 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.