Organization Active NPI

Hot Springs Behavioral Center

  • Medical Specialty Clinic/Center
  • Hot Springs, AR
National Provider Identifier
1831536549
Registry record updated Jun 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
E3165 Issued in AR
Legal business name
HOT SPRINGS BEHAVIORAL CENTER
Practice address
5001 E Grand Ave
Hot Springs, AR 71901-8673
Phone
(501) 623-1007
Fax
(501) 623-2252
NPI assigned
Jun 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2013

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

Authorized official

Name
Shamshad M Haroon, M.D.
Title
Owner
Phone
(501) 623-1007

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X P0809072 AR
Medical Specialty Clinic/Center 261QM2500X E3165 AR Primary

Addresses

Primary practice location

5001 E Grand Ave
Hot Springs, AR 71901-8673

Mailing address

5001 E Grand Ave
Hot Springs, AR 71901-8673
Phone (501) 623-1007

Other identifiers 2

IdentifierTypeStateIssuer
5M442OtherARMEDICARE UNSPECIFIED NUMBER
163736001MedicaidAR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370304000000",
    "number": "1831536549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 E GRAND AVE",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719018673",
            "telephone_number": "501-623-1007",
            "fax_number": "501-623-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 E GRAND AVE",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719018673",
            "telephone_number": "501-623-1007",
            "fax_number": "501-623-2252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOT SPRINGS BEHAVIORAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-04",
        "last_updated": "2013-06-04",
        "status": "A",
        "authorized_official_last_name": "HAROON",
        "authorized_official_first_name": "SHAMSHAD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-623-1007",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "P0809072",
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "AR",
            "license": "E3165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE UNSPECIFIED NUMBER",
            "identifier": "5M442",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163736001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2013; 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.