Texarkana Psychiatric Services, PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

TEXARKANA PSYCHIATRIC SERVICES, PLLC

Practice address

2116 N State Line Ave
Texarkana, AR 71854-3583

Phone

(870) 773-1711

Fax

(870) 773-1712

NPI assigned

Aug 14, 2019

Last updated

Aug 14, 2019By 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

Mr. Jody A Barham, APN

Title

Owner/Apn

Phone

(870) 773-1711

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565740800000",
    "number": "1770139941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 N STATE LINE AVE",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718543583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 N STATE LINE AVE",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718543583",
            "telephone_number": "870-773-1711",
            "fax_number": "870-773-1712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXARKANA PSYCHIATRIC SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-14",
        "last_updated": "2019-08-14",
        "status": "A",
        "authorized_official_last_name": "BARHAM",
        "authorized_official_first_name": "JODY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/APN",
        "authorized_official_telephone_number": "870-773-1711",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1992081491",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Texarkana Eye Group PLC
• Texarkana Group, P.L.L.C (Texarkana Health Care)
• Texarkana Kidney Disease & Hypertension Center, Inc.
• Texarkana Nutrition Consultants
• Texarkana Pain Surgery Center LLC
• Texarkana Resources for the Disabled, Inc.
• Texarkana SNF Operations LLC
• John W. Thane, DDS
• The Dream Lab (Dream Lab Counseling)
• Mylisa Thiels, M.S., CCC-SLP

• Psychiatric/Mental Health Nurse Practitioner in Texarkana, AR
• Providers in Texarkana, 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 Aug 14, 2019; 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.