Mountain Home Psychiatric Medicine, PA
NPI 1962653063ActiveOrganization· Psychiatry & Neurology, Psychiatry· Mountain Home, AR
Psychiatry & Neurology, Psychiatry in Mountain Home, Arkansas, registered in NPPES in October 2008. The authorized official on file is Annette S. Walden, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1962653063 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 7, 2008 |
| Last updated in NPPES | Jun 2, 2023 |
| Certified by provider | Jun 2, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychiatry & Neurology, Psychiatry Primary | 2084P0800X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AR) |
|---|
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