Active NPI
Samuel B. Hester PHD PA
- Adult Mental Health Clinic/Center
- Jonesboro, AR
National Provider Identifier
1669742011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- License
- 81-4P
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.