North Metro Medical

Primary specialty

Psychiatric Hospital UnitTaxonomy code 273R00000X

License

A004973 Issued in AR

Legal business name

NORTH METRO MEDICAL

Doing business as

North Mentro Mental Health Clinic

Practice address

1432 Braden Street
Jacksonville, AR 72018

Phone

(501) 985-7000

NPI assigned

Feb 9, 2017

Last updated

Feb 9, 2017By 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

Ms. Dahlia Distin, NP

Title

Provider

Phone

(501) 985-7000

Specialties & licenses 1

Addresses

Other names 1

• North Mentro Mental Health Clinic Doing business as

Tax ID family

Agape Behavioral Center72 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 1

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• N/a

  • Psychiatric Hospital Unit
  • Pine Bluff, AR
  • NPI 1639561103
  NPD tax ID

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486598400000",
    "number": "1811435894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1432 BRADEN STREET",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "72018",
            "telephone_number": "501-985-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1432 BRADEN STREET",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "72018",
            "telephone_number": "501-985-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH METRO MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-09",
        "last_updated": "2017-02-09",
        "status": "A",
        "authorized_official_last_name": "DISTIN",
        "authorized_official_first_name": "DAHLIA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "501-985-7000",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "AR",
            "license": "A004973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Mentro Mental Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eric Mount, QBHP
• Rachel Ann Myatt
• Rickeal Nelson, QBHP
• Judy Lynn Nichols, NEMT
• Timothy Noble
• Rita Margaret Odom, NP
• Andrea Rena Offord
• Denisha Olds
• Andrew George Orr, D.D.S.
• Raymond Charles Ortega, LPC

• Psychiatric Hospital Unit in Jacksonville, AR
• Providers in Jacksonville, AR by specialty
• Psychiatric Hospital Unit in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; 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.