| Supportive Psych Care Of Arkansas Pa | |
|
811 W Elgin St Siloam Springs AR 72761-2327 | |
| (718) 298-2753 | |
| Not Available |
| Full Name | Supportive Psych Care Of Arkansas Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 811 W Elgin St, Siloam Springs, Arkansas |
| Authorized Official Name and Position | Dov Newmark (PRESIDENT) |
| Authorized Official Contact | 7182982753 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Supportive Psych Care Of Arkansas Pa 27 Randolph Rd Howell NJ 07731-8611 Ph: () - | Supportive Psych Care Of Arkansas Pa 811 W Elgin St Siloam Springs AR 72761-2327 Ph: (718) 298-2753 |
| NPI Number | 1437887437 |
|---|---|
| Provider Enumeration Date | 08/09/2022 |
| Last Update Date | 08/09/2022 |
| Certification Date | 08/09/2022 |
| Medicare PECOS PAC ID | 8820474661 |
|---|---|
| Medicare Enrollment ID | O20221003001887 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437887437 | NPI | - | NPPES |
| Provider Name | Thomasena Mcnutt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285754960 PECOS PAC ID: 4284959743 Enrollment ID: I20150205000191 |
| Provider Name | Joseph C Drumm |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619262680 PECOS PAC ID: 6305145020 Enrollment ID: I20160502002147 |
| Provider Name | Michelle Marie Vincent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972127793 PECOS PAC ID: 3779905195 Enrollment ID: I20200611003295 |
| Provider Name | Jason David Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235755638 PECOS PAC ID: 2062836596 Enrollment ID: I20200716003457 |
| Provider Name | Katherine Collins Reynolds |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093089708 PECOS PAC ID: 5092102848 Enrollment ID: I20220425002186 |
| Provider Name | Christopher T Heverling |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952811879 PECOS PAC ID: 5294101408 Enrollment ID: I20221012003851 |
| Provider Name | Lauren Bowling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629788013 PECOS PAC ID: 1658743562 Enrollment ID: I20230202000341 |
| Provider Name | Cindy Lee Barber |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740504380 PECOS PAC ID: 6608231519 Enrollment ID: I20230428000799 |
| Provider Name | Felicia Nicole Nowlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245930874 PECOS PAC ID: 7315303443 Enrollment ID: I20230516002211 |
| Provider Name | Shante Lajuane Mormon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932823358 PECOS PAC ID: 4688030638 Enrollment ID: I20230516003684 |
| Provider Name | Keeanndase Pace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790408482 PECOS PAC ID: 4385000819 Enrollment ID: I20230525000834 |
| Provider Name | Stephanie A. Johnston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053546291 PECOS PAC ID: 0547620205 Enrollment ID: I20230713002233 |
| Provider Name | Elizabeth Hiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760161715 PECOS PAC ID: 9537520994 Enrollment ID: I20230801002927 |
| Provider Name | John T Cherry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245912898 PECOS PAC ID: 9931561164 Enrollment ID: I20230818002714 |
| Provider Name | Kathy Magaleane White |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831346253 PECOS PAC ID: 4082061486 Enrollment ID: I20231107000979 |
| Provider Name | Leslie Elaine Galvan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164614921 PECOS PAC ID: 6901937705 Enrollment ID: I20240216001682 |
| Provider Name | Kirsten Orange |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881167666 PECOS PAC ID: 6901240761 Enrollment ID: I20240220002576 |
| Provider Name | Shirley Renee Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841885449 PECOS PAC ID: 9537578117 Enrollment ID: I20240223004121 |
| Provider Name | Julie Ann Crowley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730621285 PECOS PAC ID: 1557706579 Enrollment ID: I20240229003127 |
| Provider Name | Anita Renee Merritt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841406709 PECOS PAC ID: 9537509591 Enrollment ID: I20240424004202 |
| Provider Name | Paul Bailey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669802823 PECOS PAC ID: 7416398409 Enrollment ID: I20240508001082 |
| Provider Name | Olufunke Oludipe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134902075 PECOS PAC ID: 2769826700 Enrollment ID: I20240510002525 |
| Provider Name | Susan Strader |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477165678 PECOS PAC ID: 7214379130 Enrollment ID: I20240523002223 |
| Provider Name | Sandra Kay Davis-young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457991051 PECOS PAC ID: 2365871845 Enrollment ID: I20240524001614 |
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A Way Forward Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 N Cameron St, Siloam Springs, AR 72761 Phone: 479-427-8947 | |
Lifebridge Ar Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 East Ashley St., Siloam Springs, AR 72761 Phone: 479-790-2483 | |
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