Organization Active NPI

Mental Health Diagnostics and Teleprescribing

  • Psychiatric/Mental Health Nurse Practitioner
  • Mountain Home, AR
National Provider Identifier
1992552947
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MENTAL HEALTH DIAGNOSTICS AND TELEPRESCRIBING
Practice address
40 Plaza Way Ste 8
Mountain Home, AR 72653
Phone
(501) 344-6154
Fax
(501) 344-6154
NPI assigned
May 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Authorized official

Name
James Richard Acup, PMHNPNPI 1437625274
Title
Owner/Incorporator/Organizer
Phone
(870) 373-1514

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

40 Plaza Way Ste 8
Mountain Home, AR 72653

Mailing address

801 Leewood Dr
Horseshoe Bend, AR 72512-3918
Phone (501) 344-6154

Other names 1

  • Mental Health Diagnostics and TelePrescribing Other name

National Provider Directory

National Provider Directory

Locations

40 Plaza Way
Ste 8
Mountain Home, AR 72653
Phone (501) 344-6154

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": "1714953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717632000000",
    "number": "1992552947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 LEEWOOD DR",
            "city": "HORSESHOE BEND",
            "state": "AR",
            "postal_code": "725123918",
            "telephone_number": "501-344-6154",
            "fax_number": "501-344-6154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 PLAZA WAY STE 8",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "72653",
            "telephone_number": "501-344-6154",
            "fax_number": "501-344-6154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH DIAGNOSTICS AND TELEPRESCRIBING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-06",
        "last_updated": "2024-06-06",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "ACUP",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER/INCORPORATOR/ORGANIZER",
        "authorized_official_telephone_number": "870-373-1514",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mental Health Diagnostics and TelePrescribing",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Mental Health Diagnostics and TelePrescribing",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mountain Home, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; 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.