| Washington Regional Psychiatric Clinic | |
|
3215 N Northhills Blvd Washington Regional Psychiatric Clinic Fayetteville AR 72703-4424 | |
| (479) 463-2004 | |
| (479) 463-7864 |
| Full Name | Washington Regional Psychiatric Clinic |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3215 N Northhills Blvd, Fayetteville, Arkansas |
| Authorized Official Name and Position | Dan Eckels (VICE PRESIDENT AND CFO) |
| Authorized Official Contact | 4794636026 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Washington Regional Psychiatric Clinic 12 E Appleby Clinic Administration Fayetteville AR 72703 Ph: (479) 463-1704 | Washington Regional Psychiatric Clinic 3215 N Northhills Blvd Washington Regional Psychiatric Clinic Fayetteville AR 72703-4424 Ph: (479) 463-2004 |
| NPI Number | 1366408973 |
|---|---|
| Provider Enumeration Date | 04/22/2006 |
| Last Update Date | 09/20/2010 |
| Medicare PECOS PAC ID | 8820995434 |
|---|---|
| Medicare Enrollment ID | O20041019000920 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366408973 | NPI | - | NPPES |
| 148784002 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Lance C Foster |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891740502 PECOS PAC ID: 8628168622 Enrollment ID: I20071213000871 |
| Provider Name | James R Parks |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942496005 PECOS PAC ID: 5294894432 Enrollment ID: I20081103000760 |
| Provider Name | Brian Walter Mooney |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780685024 PECOS PAC ID: 6608806609 Enrollment ID: I20090130000347 |
| Provider Name | Aaron Carson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376802504 PECOS PAC ID: 2860711439 Enrollment ID: I20170327000147 |
| Provider Name | Matthew E Kern |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1598145948 PECOS PAC ID: 8022326966 Enrollment ID: I20230708000149 |
Healing Spirit Therapies, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 221 N East Ave, #201, Fayetteville, AR 72701 Phone: 479-200-8472 Fax: 479-442-2881 | |
Still Waters Family Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3313 W Mount Comfort Rd, Fayetteville, AR 72704 Phone: 479-263-7602 Fax: 479-443-2892 | |
Marie W. Wood Phd Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 215 N East Ave, Fayetteville, AR 72701 Phone: 479-521-9696 | |
Spectrum Living Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3677 W Weir Rd, Fayetteville, AR 72704 Phone: 479-871-2481 | |
Rita Cruz-collins Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1747 N College Ave, Fayetteville, AR 72703 Phone: 479-305-2907 | |
Stone Path Counseling, Plc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 E Poplar St Ste C, Fayetteville, AR 72703 Phone: 479-435-6047 Fax: 479-755-3595 | |
Wellness Solutions Counseling Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 N East Ave, Suite 101, Fayetteville, AR 72701 Phone: 479-435-6679 |