Hudefi Mental Health Services PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

E4773 Issued in AR

Legal business name

HUDEFI MENTAL HEALTH SERVICES PLLC

Practice address

2010 Chestnut St
Van Buren, AR 72956-5321

Phone

(479) 782-5500

NPI assigned

Apr 22, 2010

Last updated

Aug 31, 2011By 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

Dr. Fayz A Hudefi, MD

Title

Owner

Phone

(479) 353-0901

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1271894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314748800000",
    "number": "1649597220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10674",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729170674",
            "telephone_number": "479-782-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 CHESTNUT ST",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729565321",
            "telephone_number": "479-782-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDEFI MENTAL HEALTH SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-22",
        "last_updated": "2011-08-31",
        "status": "A",
        "authorized_official_last_name": "HUDEFI",
        "authorized_official_first_name": "FAYZ",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-353-0901",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AR",
            "license": "E4773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE",
            "identifier": "06070018900",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5N608",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexis Housley
• Chelby Mae Howard, MS, BCBA
• Jessica Howell
• Victoria Howell
• Sabrina Huang
• Hudson Pharmacy Inc (Hudson Pharmacy Long Term Care)
• Hudson Pharmacy Inc
• Melissa Huff, LPC, LMFT
• Melissa Hunt
• Francee Hunter-Doolittle, MSPT

• Psychiatry Physician in Van Buren, AR
• Providers in Van Buren, AR by specialty
• Psychiatry Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.