Paul W. Peterson LLC
NPI 1790675908 · Mental Health Clinic/Center (Including Community Mental Health Center) · Bentonville, AR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Paul W. Peterson LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Bentonville, AR (NPI 1790675908).
Provider details
- NPI number
- 1790675908
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Paul Peterson, Owner(501) 260-7324
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-07-08
- Last updated
- 2025-07-08
- Certified
- 2025-07-08
Frequently asked questions
- What is Paul W. Peterson LLC's NPI number?
- Paul W. Peterson LLC's National Provider Identifier (NPI) is 1790675908, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Paul W. Peterson LLC?
- Paul W. Peterson LLC is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Paul W. Peterson LLC located?
- Paul W. Peterson LLC's practice location on file with NPPES is 701 Nw Mcnelly Rd Ste 9, Bentonville, AR 72712-9160.
- What is Paul W. Peterson LLC's phone number?
- The practice phone number listed in the NPPES registry for Paul W. Peterson LLC is (501) 260-7324.
- Does Paul W. Peterson LLC accept Medicare?
- Paul W. Peterson LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Paul W. Peterson LLC?
- The authorized official listed on Paul W. Peterson LLC's NPPES record is Paul Peterson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Paul W. Peterson LLC's NPI active?
- Yes — Paul W. Peterson LLC's NPI (1790675908) is active in the NPPES registry as of the last update on 2025-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.