| White River Behavioral Health | |
|
2230 Harrison St Batesville AR 72501-7417 | |
| (870) 698-2100 | |
| (870) 698-0109 |
| Full Name | White River Behavioral Health |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2230 Harrison St, Batesville, Arkansas |
| Authorized Official Name and Position | Heather Billingsley (CONTRACT COMPLIANCE SPECIALIST) |
| Authorized Official Contact | 8702625545 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| White River Behavioral Health 2230 Harrison St Batesville AR 72501-7417 Ph: (870) 698-2100 | White River Behavioral Health 2230 Harrison St Batesville AR 72501-7417 Ph: (870) 698-2100 |
| NPI Number | 1710952650 |
|---|---|
| Provider Enumeration Date | 02/22/2006 |
| Last Update Date | 02/01/2021 |
| Certification Date | 02/01/2021 |
| Medicare PECOS PAC ID | 0143134270 |
|---|---|
| Medicare Enrollment ID | O20031206000064 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710952650 | NPI | - | NPPES |
| 141670002 | Medicaid | AR | |
| 5C532 | Other | AR | MEDICARE NUMBER |
| Provider Name | Bonnie Selby |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649384777 PECOS PAC ID: 6406827500 Enrollment ID: I20040803000787 |
| Provider Name | Beverly Kay Caraway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598737249 PECOS PAC ID: 0143243493 Enrollment ID: I20060116000416 |
| Provider Name | Frances K Ketz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043299332 PECOS PAC ID: 2163414806 Enrollment ID: I20071204000412 |
| Provider Name | Patrick S Mulick |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609955657 PECOS PAC ID: 9032122411 Enrollment ID: I20080708000657 |
| Provider Name | Sarah Schlesinger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912931916 PECOS PAC ID: 7315014677 Enrollment ID: I20080929000377 |
| Provider Name | Ellen L Qualls |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689819682 PECOS PAC ID: 6406911296 Enrollment ID: I20090211000165 |
| Provider Name | Betty L Scott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164535522 PECOS PAC ID: 8426241704 Enrollment ID: I20101019000853 |
| Provider Name | Derainey R Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740575075 PECOS PAC ID: 5991973182 Enrollment ID: I20110713000598 |
| Provider Name | Cindy Rossetti |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811150303 PECOS PAC ID: 8426228834 Enrollment ID: I20110823000099 |
| Provider Name | Carla Jean Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962836213 PECOS PAC ID: 7113153289 Enrollment ID: I20131119001582 |
| Provider Name | John Rians |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891788758 PECOS PAC ID: 0749432151 Enrollment ID: I20160601000858 |
| Provider Name | Amanda D Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629489133 PECOS PAC ID: 6507170255 Enrollment ID: I20160916000300 |
| Provider Name | Brian Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992254486 PECOS PAC ID: 7810277365 Enrollment ID: I20161129002536 |
| Provider Name | Jerrod R Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013302587 PECOS PAC ID: 7618283805 Enrollment ID: I20170221000594 |
| Provider Name | Alexander Darius Ghobadimanesh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043699929 PECOS PAC ID: 1254693237 Enrollment ID: I20180403002220 |
| Provider Name | Charlett Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396200978 PECOS PAC ID: 8426397183 Enrollment ID: I20190225002672 |
| Provider Name | Kristy Nicole Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487299525 PECOS PAC ID: 6901230382 Enrollment ID: I20191217002429 |
| Provider Name | Nicole Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225736325 PECOS PAC ID: 3274907894 Enrollment ID: I20230322002875 |
| Provider Name | Rachael Gene Marx |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093138745 PECOS PAC ID: 4385019371 Enrollment ID: I20230405000029 |
| Provider Name | Fredricka Tabor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114540051 PECOS PAC ID: 9931551207 Enrollment ID: I20240123001120 |
Evergreen Day Treatment Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1355 E Main St, Batesville, AR 72501 Phone: 870-793-8919 Fax: 870-793-8968 | |
Mid South Health Systems Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 Gap Rd, Batesville, AR 72501 Phone: 870-919-3381 | |
Gray's Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 477 E Main St, Batesville, AR 72501 Phone: 870-793-8900 | |
Nikki Penn Counseling And Consulting, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1275 E College St, Batesville, AR 72501 Phone: 870-793-0071 Fax: 888-683-9687 | |
Conway County Community Service Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2503 Harrison St, Batesville, AR 72501 Phone: 870-569-5112 Fax: 870-569-5113 | |
White River Health Neurology Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1699 Harrison St, Suite D, Batesville, AR 72501 Phone: 870-793-5200 Fax: 870-793-5277 | |
Life Strategies Counseling, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 70 Batesville Blvd Ste C, Batesville, AR 72501 Phone: 870-793-3199 Fax: 870-793-3151 |