NPIMap

Organization Active NPI

Rock Mental Health, LLC

  • Psychiatry Physician
  • Benton, AR
National Provider Identifier
1174309389
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
ROCK MENTAL HEALTH, LLC
Practice address
5 Medical Park Dr Ste 304
Benton, AR 72015-3745
Phone
(501) 408-2429
Fax
(501) 408-2822
NPI assigned
Sep 4, 2023
Last updated
Nov 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Authorized official

Name
Ahmad YousafNPI 1033405824
Title
Owner/MD
Phone
(501) 408-2429

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X Primary

Addresses

Primary practice location

5 Medical Park Dr Ste 304
Benton, AR 72015-3745

Mailing address

5 Medical Park Dr Ste 304
Benton, AR 72015-3745
Phone (501) 408-2429

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231120002938 AR Part B Supplier - Clinic/Group Practice 9638527237 Receives reassigned benefits from 9 practitioners
Practice locations: Benton, AR

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1693785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1174309389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MEDICAL PARK DR STE 304",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153745",
            "telephone_number": "501-408-2429",
            "fax_number": "501-408-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MEDICAL PARK DR STE 304",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153745",
            "telephone_number": "501-408-2429",
            "fax_number": "501-408-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCK MENTAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-04",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "YOUSAF",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "501-408-2429"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benton, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.