| Jm Psychiatry Pllc | |
|
2101 Congo Rd Ste F900 Benton AR 72015-2750 | |
| (501) 794-6557 | |
| Not Available |
| Full Name | Jm Psychiatry Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2101 Congo Rd Ste F900, Benton, Arkansas |
| Authorized Official Name and Position | Janette Diane Mcgaugh (OWNER) |
| Authorized Official Contact | 5016584119 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jm Psychiatry Pllc 2101 Congo Rd Ste F900 Benton AR 72015-2750 Ph: (501) 794-6557 | Jm Psychiatry Pllc 2101 Congo Rd Ste F900 Benton AR 72015-2750 Ph: (501) 794-6557 |
| NPI Number | 1063259737 |
|---|---|
| Provider Enumeration Date | 07/10/2024 |
| Last Update Date | 07/10/2024 |
| Certification Date | 07/10/2024 |
| Medicare PECOS PAC ID | 7214460971 |
|---|---|
| Medicare Enrollment ID | O20241101002757 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063259737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Janette D Mcgaugh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831280593 PECOS PAC ID: 6608878350 Enrollment ID: I20070208000294 |
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