Active NPI
Joanne Mehalic, BT
- Community/Behavioral Health Agency
- Bryant, AR
National Provider Identifier
1316425465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Practice address
- 908 N Reynolds Rd
Bryant, AR 72022-3034 - Phone
- (501) 847-9711
- NPI assigned
- Jul 31, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
908 N Reynolds Rd
Bryant, AR 72022-3034
Mailing address
1935 Shouse Ford Rd
Amity, AR 71921-5055
Phone (501) 617-4453
Other practice location 1
662 Encinitas Blvd
Encinitas, CA 92024-6788
Phone (760) 634-1125
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Theology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652227200000",
"number": "1316425465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1935 SHOUSE FORD RD",
"city": "AMITY",
"state": "AR",
"postal_code": "719215055",
"telephone_number": "501-617-4453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "908 N REYNOLDS RD",
"city": "BRYANT",
"state": "AR",
"postal_code": "720223034",
"telephone_number": "501-847-9711"
}
],
"practiceLocations": [
{
"address_1": "662 Encinitas Blvd",
"address_purpose": "LOCATION",
"city": "Encinitas",
"state": "CA",
"postal_code": "920246788",
"country_code": "US",
"telephone_number": "760-634-1125",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEHALIC",
"first_name": "JOANNE",
"credential": "BT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-31",
"last_updated": "2022-05-11",
"certification_date": "2022-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bryant, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.