Haas Psychiatric Services, PA

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

E-0446 Issued in AR

Legal business name

HAAS PSYCHIATRIC SERVICES, PA

Practice address

2001 Club Manor Dr Ste J
Maumelle, AR 72113-7417

Phone

(501) 687-0488

Fax

(501) 687-0489

NPI assigned

Apr 7, 2016

Organization subpart

No

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

Authorized official

Name

Dr. David Charles Haas, M.D.

Title

Owner

Phone

(501) 687-0488

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1459987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459987200000",
    "number": "1124482971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 CLUB MANOR DR STE J",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721137417",
            "telephone_number": "501-687-0488",
            "fax_number": "501-687-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 CLUB MANOR DR STE J",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721137417",
            "telephone_number": "501-687-0488",
            "fax_number": "501-687-0489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAAS PSYCHIATRIC SERVICES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-07",
        "last_updated": "2016-04-07",
        "status": "A",
        "authorized_official_last_name": "HAAS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-687-0488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "AR",
            "license": "E-0446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "191634002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany Colleen Glass
• Goals Ces Services, Inc
• Stacy Graham
• Gwendolyn'S Home Care Inc.
• Haas Psychiatric Services, P.a.
• David Charles Haas, M.D.
• Madison Hailey I, DR
• John Halloran, M.S., CCC - SLP
• Jennifer Hammond, PHARM D
• Shiela M Hardin, MA, CCC-SLP-L

• Mental Health Clinic/Center (Including Community Mental Health Center) in Maumelle, AR
• Providers in Maumelle, AR by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; 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.