Psyche Nwa LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

PSYCHE NWA LLC

Practice address

5212 W Village Pkwy Ste 8
Rogers, AR 72758-8190

Phone

(904) 894-9260

NPI assigned

Sep 1, 2025

Last updated

Sep 22, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Matthew Casey Jones, CRNANPI 1851894463

Title

Owner

Phone

(870) 378-1876

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 5

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.

• Alyssa Eden Graff, PA

  • Physician Assistant
  • Rogers, AR
  • NPI 1710619085
  Medicare reassignment Care Compare group NPD
• Jahnneliz Marie Jones

  • Psychiatric/Mental Health Nurse Practitioner
  • Rogers, AR
  • NPI 1891467726
  Medicare reassignment Care Compare group NPD
• Devin Sean McDonald, DO

  • Psychiatry Physician
  • Fayetteville, AR
  • NPI 1497332761
  Medicare reassignment NPD
• Matthew Casey Jones, CRNA

  • Certified Registered Nurse Anesthetist
  • Bentonville, AR
  • NPI 1851894463

  Nurse Anesthetist, Certified Registered

  NPD Authorized official
• Mandi T Williams, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Smith, AR
  • NPI 1013369404
  Medicare reassignment

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

{
    "created_epoch": "1756684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758499200000",
    "number": "1598644700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5212 W VILLAGE PKWY STE 8",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588190",
            "telephone_number": "479-324-2671",
            "fax_number": "479-398-8346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5212 W VILLAGE PKWY STE 8",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588190",
            "telephone_number": "904-894-9260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHE NWA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-01",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "CASEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-378-1876",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Rogers, AR
• Providers in Rogers, AR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; 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.