Pioneer Health Services, Inc.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

PIONEER HEALTH SERVICES, INC.

Practice address

201 N Clifton St
Fordyce, AR 71742-3026

Phone

(870) 352-6300

NPI assigned

Dec 29, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Joseph S. McNulty

Title

Ceo

Phone

(601) 849-6440

Specialties & licenses 1

Addresses

Other names 1

• PHS of Dallas Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1325116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325116800000",
    "number": "1083983589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 PIONEER WAY",
            "city": "MAGEE",
            "state": "MS",
            "postal_code": "391115501",
            "telephone_number": "601-849-6440",
            "fax_number": "601-849-1309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N CLIFTON ST",
            "city": "FORDYCE",
            "state": "AR",
            "postal_code": "717423026",
            "telephone_number": "870-352-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-29",
        "last_updated": "2011-12-29",
        "status": "A",
        "authorized_official_last_name": "MCNULTY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-849-6440",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHS of Dallas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tracy Ann Pefferkorn, LPC
• Jeanna Pennington, LPC
• Debra Perry, MHPP
• Emily Phillips, QBHP
• Pine Forest Health and Rehab Center, LLC
• Prescription Store of Fordyce Inc
• Judy Prince, LPC
• Kenneth Michael Prince, MHPP
• Robin Johnston Radford, MHPP
• Madeline Reed, DNP, APRN, PMHNP-BC

• Psychiatry Physician in Fordyce, AR
• Providers in Fordyce, AR by specialty
• Psychiatry Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.