Watch Mountain Clinic

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

WATCH MOUNTAIN CLINIC

Practice address

601 Maple Ave
Mena, AR 71953-3227

Phone

(479) 216-1172

NPI assigned

Jul 20, 2020

Organization subpart

No

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

Authorized official

Name

Tonya L Chambers

Title

Owner of Entity

Phone

(479) 957-9718

Specialties & licenses 2

Addresses

Electronic endpoints 3

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605571200000",
    "number": "1659989309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MAPLE AVE",
            "city": "MENA",
            "state": "AR",
            "postal_code": "719533227",
            "telephone_number": "479-957-9718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 MAPLE AVE",
            "city": "MENA",
            "state": "AR",
            "postal_code": "719533227",
            "telephone_number": "479-216-1172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATCH MOUNTAIN CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-11-17",
        "certification_date": "2020-09-17",
        "status": "A",
        "authorized_official_last_name": "CHAMBERS",
        "authorized_official_first_name": "TONYA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER OF ENTITY",
        "authorized_official_telephone_number": "479-957-9718"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "watchclinicfrontdesk@outlook.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "601 Maple Ave",
            "city": "Mena",
            "state": "AR",
            "country_code": "US",
            "postal_code": "719533227",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "watchclinicfrontdesk@outlook.com",
            "affiliation": "N",
            "address_1": "601 Maple Ave",
            "city": "Mena",
            "state": "AR",
            "country_code": "US",
            "postal_code": "719533227",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "evans_tonya16@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "601 Maple Ave",
            "city": "Mena",
            "state": "AR",
            "country_code": "US",
            "postal_code": "719533227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Wal-Mart Stores, Inc.
• Walgreen Co
• Walk in Center
• Robbie Gene Walker, OTR/L
• Walmart Inc.
• Waverley - Arkansas, Inc.
• Jon Todd Weakley, CRNA
• Eric Webb, PA-C
• Sherilyn M Webb, MD
• Jonathan Carl Welsh, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Mena, AR
• Providers in Mena, 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 Nov 17, 2020; 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.