Individual provider Active NPI

Donnie Joe Holden, M.D.

  • Psychiatry Physician
  • Bentonville, AR
National Provider Identifier
1891880373
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
C-7397 Issued in AR
Practice address
2707 SE G St
Bentonville, AR 72712-3740
Phone
(479) 367-2552
Fax
(479) 367-2584
NPI assigned
Oct 3, 2006
Last updated
Jun 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X C-7397 AR Primary

Addresses

Primary practice location

2707 SE G St
Bentonville, AR 72712-3740

Mailing address

2707 SE G St
Bentonville, AR 72712-3740
Phone (479) 367-2552

Other identifiers 3

IdentifierTypeStateIssuer
1891880373MedicaidMO
100080220AMedicaidOK
118344001MedicaidAR

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120201000780 AR Practitioner - PsychiatryPractitioner - Geriatric PsychiatryPractitioner - Addiction MedicinePractitioner - Neuropsychiatry 8224013339 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Addiction Medicine, Geriatric Psychiatry, Neuropsychiatry
Education
Texas Tech University Health Science Center School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holden Psychiatric Institute PAGroup PAC ID 9234114349, 6 clinicians
Northwest Physicians LLCGroup PAC ID 0244213213, 36 clinicians

Practice addresses (Care Compare)

2707 SE G St
Bentonville, AR 72712-3740
Phone (479) 367-2552

601 W Maple Ave
Springdale, AR 72764-5374

609 W Maple Ave
Springdale, AR 72764-5335
Phone (479) 757-8001

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Physicians LLC CurrentSince May 1, 2022 Accepting new patients
Holden Psychiatric Institute, PA Psychiatry CurrentSince Jun 24, 2003 Accepting new patients
Northwest Physicians LLC CurrentSince May 1, 2022 Accepting new patients
Holden Psychiatric Institute, PA Psychiatry CurrentSince May 3, 2020 Accepting new patients
Northwest Arkansas Hospitals, LLC Past Accepting new patients

Locations

200 SE 22nd St
Ste 14
Bentonville, AR 72712

2200 SE J St
Ste 12
Bentonville, AR 72712
Phone (479) 364-0462

2200 SE J St
Ste 14
Bentonville, AR 72712
Phone (479) 254-9777

2707 SE G St
Bentonville, AR 72712
Phone (479) 367-2552

1101 Jackson St SW
Gravette, AR 72736
Phone (479) 787-5221

601 W Maple Ave
Ste 403
Springdale, AR 72764
Phone (479) 750-2742

801 Carlton St
Springdale, AR 72762
Phone (479) 255-5414

801 Carlton St
#C
Springdale, AR 72762

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1891880373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 SE G ST",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123740",
            "telephone_number": "479-367-2552",
            "fax_number": "479-367-2584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 SE G ST",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123740",
            "telephone_number": "479-367-2552",
            "fax_number": "479-367-2584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDEN",
        "first_name": "DONNIE",
        "middle_name": "JOE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AR",
            "license": "C-7397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891880373",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100080220A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118344001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bentonville, AR

Sources for this page

Verify at the official NPI Registry.