Active NPI
Donald E Wleklinski, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Siloam Springs, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- A003818
- Practice address
- 920 S Carl St BLDG 2
Siloam Springs, AR 72761-4108 - Phone
- (479) 238-2552
- Fax
- (479) 373-6737
- NPI assigned
- May 7, 2013
- Last updated
- Apr 8, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | A003818 | AR | Primary |
Addresses
Primary practice location
920 S Carl St BLDG 2
Siloam Springs, AR 72761-4108
Mailing address
920 S Carl St BLDG 2
Siloam Springs, AR 72761-4108
Phone (479) 238-2552
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 199300758 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A003818 | AR | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texarkana Behavioral Associates, L.C. | Current | Accepting new patients | |
| Texarkana Behavioral Associates, L.C. | Current | Accepting new patients | |
| Texarkana Behavioral Associates, L.C. | Current | Accepting new patients | |
| Uhs of Springwoods LLC | Current | Accepting new patients | |
| Northwest Benton County Physician Services LLC | Current | Accepting new patients | |
| Momentum Counseling, PLLC | Past | Accepting new patients |
Locations
815 Fort St
Ste A
Barling, AR 72923
Phone (479) 494-5740
101 Sun Meadow Dr
Centerton, AR 72719
Phone (479) 273-1426
1955 W Truckers Dr
Fayetteville, AR 72704
Phone (479) 973-6000
4253 N Crossover Rd
Fayetteville, AR 72703
Phone (479) 443-6496
451 S Holly St
Siloam Springs, AR 72761
Phone (479) 524-3141
603 N Progress Ave
Siloam Springs, AR 72761
Phone (479) 215-3000
609 W Maple Ave
Springdale, AR 72764
Phone (479) 751-5711
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Bentonville, AR
- NPI 1871553073
-
dba Valley Behavioral Health System Outpatient Program
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Barling, AR
- NPI 1467483677
-
dba Springwoods Behavioral Health Services
- Psychiatric Hospital
- Fayetteville, AR
- NPI 1790925972
-
dba Vantage Point of Northwest Arkansas
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fayetteville, AR
- NPI 1194758953
-
dba Vantage Point of Northwest Arkansas
- Psychiatric Hospital
- Fayetteville, AR
- NPI 1639137565
-
- Professional Counselor
- Rogers, AR
- NPI 1205382793
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586304000000",
"number": "1891130555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 S CARL ST BLDG 2",
"city": "SILOAM SPRINGS",
"state": "AR",
"postal_code": "727614108",
"telephone_number": "479-238-2552",
"fax_number": "479-373-6737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 S CARL ST BLDG 2",
"city": "SILOAM SPRINGS",
"state": "AR",
"postal_code": "727614108",
"telephone_number": "479-238-2552",
"fax_number": "479-373-6737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WLEKLINSKI",
"first_name": "DONALD",
"middle_name": "E",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-07",
"last_updated": "2020-04-08",
"certification_date": "2020-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AR",
"license": "A003818",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "199300758",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Siloam Springs, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.