Haas Psychiatric Services, P.a. | |
2001 Club Manor Dr Ste J Maumelle AR 72113-7417 | |
(501) 687-0488 | |
(501) 687-0489 |
Full Name | Haas Psychiatric Services, P.a. |
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Speciality | Clinic/Center |
Location | 2001 Club Manor Dr Ste J, Maumelle, Arkansas |
Authorized Official Name and Position | David Charles Haas (OWNER) |
Authorized Official Contact | 5016870488 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Haas Psychiatric Services, P.a. 2001 Club Manor Dr Ste J Maumelle AR 72113-7417 Ph: (501) 687-0488 | Haas Psychiatric Services, P.a. 2001 Club Manor Dr Ste J Maumelle AR 72113-7417 Ph: (501) 687-0488 |
NPI Number | 1003835257 |
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Provider Enumeration Date | 07/19/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 9931005782 |
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Medicare Enrollment ID | O20031211000465 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003835257 | NPI | - | NPPES |
5C588 | Other | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | E-0446 (Arkansas) | Primary |
Provider Name | David Haas |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1518924471 PECOS PAC ID: 4183520984 Enrollment ID: I20040204000196 |
Provider Name | Mary L Davis |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1154343499 PECOS PAC ID: 1355535220 Enrollment ID: I20101104000757 |
Haas Psychiatric Services, Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2001 Club Manor Dr Ste J, Maumelle, AR 72113 Phone: 501-687-0488 Fax: 501-687-0489 | |
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