Organization Active NPI

Samuel B. Hester PHD PA

  • Adult Mental Health Clinic/Center
  • Jonesboro, AR
National Provider Identifier
1669742011
Registry record updated Jan 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
81-4P Issued in AR
Legal business name
SAMUEL B. HESTER PHD PA
Practice address
361 Southwest Dr # 105
Jonesboro, AR 72401-5854
Phone
(870) 219-1407
NPI assigned
Jan 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2012

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

Authorized official

Name
Dr. Samuel Broud Hester, PHD
Title
Owner
Phone
(870) 219-1407

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 81-4P AR Primary

Addresses

Primary practice location

361 Southwest Dr # 105
Jonesboro, AR 72401-5854

Mailing address

361 Southwest Dr # 105
Jonesboro, AR 72401-5854
Phone (870) 219-1407

National Provider Directory

National Provider Directory

Locations

2500 Southwest Sq
Jonesboro, AR 72401
Phone (870) 932-1707

NPI Registry JSON

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

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325548800000",
    "number": "1669742011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 SOUTHWEST DR # 105",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724015854",
            "telephone_number": "870-219-1407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 SOUTHWEST DR # 105",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724015854",
            "telephone_number": "870-219-1407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL B. HESTER PHD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-03",
        "last_updated": "2012-01-03",
        "status": "A",
        "authorized_official_last_name": "HESTER",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "BROUD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-219-1407",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "AR",
            "license": "81-4P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; 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.