WASHINGTON REGIONAL PSYCHIATRIC CLINIC
NPI 1366408973
Psychiatry & Neurology - Geriatric Psychiatry in Fayetteville, AR
NPI Status: Active since April 22, 2006
Contact Information
3215 N NORTHHILLS BLVD
WASHINGTON REGIONAL PSYCHIATRIC CLINIC
FAYETTEVILLE, AR
ZIP 72703
Phone: (479) 463-2004
Fax: (479) 463-7864
- Organization
- Psychiatry & Neurology
- Geriatric Psychiatry
- CLIA Number: 04D2292064
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-18-2025
About WASHINGTON REGIONAL PSYCHIATRIC CLINIC
This page provides the complete NPI Profile along with additional information for Washington Regional Psychiatric Clinic, a provider established in Fayetteville, Arkansas operating as a Psychiatry & Neurology, focusing in geriatric psychiatry . The healthcare provider is registered in the NPI registry with number 1366408973 assigned on April 2006. The practitioner's primary taxonomy code is 2084P0805X. The provider is registered as an organization and their NPI record was last updated 15 years ago. Washington Regional Psychiatric Clinic operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Washington Regional Psychiatric Clinic. The authorized official of this NPI record is Dan Eckels (Vice President And Cfo)
- NPI
- 1366408973
- Provider Legal Name
- WASHINGTON REGIONAL MEDICAL SYSTEM
- Other Organization Name
- WASHINGTON REGIONAL PSYCHIATRIC CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 3215 N NORTHHILLS BLVD WASHINGTON REGIONAL PSYCHIATRIC CLINIC FAYETTEVILLE, AR 72703
- Location Phone
- (479) 463-2004
- Location Fax
- (479) 463-7864
- Mailing Address
- 12 E APPLEBY CLINIC ADMINISTRATION FAYETTEVILLE, AR 72703
- Mailing Phone
- (479) 463-1704
- Mailing Fax
- (479) 463-7864
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-22-2006
- Last Update Date
- 09-20-2010
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatry & Neurology Geriatric Psychiatry
- Taxonomy Code
- 2084P0805X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 148784002 | MEDICAID (05) | AR | |
| 5C734 | MEDICARE ID-TYPE UNSPECIFIED (04) | AR |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 04D2292064
- Facility Type
- Physician Office
- Certificate Effective Date
- October 19, 2023
- Certificate Expiration Date
- October 18, 2025
- Laboratory Director
- DR. ANNE G. MONTGOMERY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Washington Regional Psychiatric Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 6 | 6 | 4 | 0 | 8 | 9 | 7 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 12 | 6 | 8 | 0 | 16 | 9 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 2 + 6 + 8 + 0 + 1 + 6 + 9 + 1 + 4 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1366408973 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1275517468 | OZARK REGIONAL ANESTHESIA Organization | Anesthesiology | 3215 N NORTHHILLS BLVD FAYETTEVILLE, AR 72703 (479) 463-1019 |
| 1568446664 | JOHN BRUNNER III MD Individual | Anesthesiology | 3215 N NORTHHILLS BLVD FAYETTEVILLE, AR 72703 (918) 664-9892 |
| 1295719128 | FREDERIC SPIES MD Individual | Anesthesiology | 3215 N NORTHHILLS BLVD FAYETTEVILLE, AR 72703 (918) 664-9892 |
| 1821074774 | STANLEY STRICKLAND MD Individual | Anesthesiology | 3215 N NORTHHILLS BLVD FAYETTEVILLE, AR 72703 (918) 664-9892 |
| 1790758985 | DR. JEFFERSON ROBERT THURLBY M.D. Individual | Anesthesiology | 3215 N NORTHHILLS BLVD FAYETTEVILLE, AR 72703 (479) 463-1000 |
| 1255391629 | ANTONIO P LANDRY CRNA Individual | Nurse Anesthetist, Certified Registered | 3215 N NORTHHILLS BLVD FAYETTEVILLE, AR 72703 (918) 664-9892 |
| 1275581027 | DR. BARRY KEITH WETSELL D.O. Individual | Radiology (Diagnostic Radiology) | 3215 N NORTHHILLS BLVD FAYETTEVILLE, AR 72703 (479) 968-7930 |
| 1376591610 | DR. ERIC DAVID SALE MD Individual | Radiology (Diagnostic Radiology) | 3215 N NORTHHILLS BLVD FAYETTEVILLE, AR 72703 (479) 968-7930 |
| 1154371946 | STEVEN FRANKLIN SPENCER MD Individual | Family Medicine | 3215 N NORTHHILLS BLVD FAYETTEVILLE, AR 72703 (479) 463-7300 |
| 1851341663 | AARON M BELL CRNA Individual | Nurse Anesthetist, Certified Registered | 3215 N NORTHHILLS BLVD FAYETTEVILLE, AR 72703 (918) 664-9892 |
| 1235189069 | RANDALL D HIGHTOWER MD Individual | Obstetrics & Gynecology (Gynecologic Oncology) | 3215 N NORTHHILLS BLVD SUITE B FAYETTEVILLE, AR 72703 (479) 463-5500 |
| 1750334603 | ARKANSAS GATEWOOD EMERGENCY ROOM SERVICES, PA Organization | Emergency Medicine | 3215 N NORTHHILLS BLVD FAYETTEVILLE, AR 72703 (479) 713-1000 |
| 1407801780 | MARGARET M SLAPE APN Individual | Nurse Practitioner (Women's Health) | 3215 N NORTHHILLS BLVD SUITE B FAYETTEVILLE, AR 72703 (479) 463-5500 |
| 1265475388 | SCOTT SHEPHERD CRNA Individual | Nurse Anesthetist, Certified Registered | 3215 N NORTHHILLS BLVD FAYETTEVILLE, AR 72703 (918) 664-9892 |
| 1437186905 | DR. WILLIAM B KENDALL MD Individual | Anesthesiology | 3215 N NORTHHILLS BLVD FAYETTEVILLE, AR 72703 (918) 664-9892 |
| 1831116318 | DAVID H GEORGE CRNA Individual | Nurse Anesthetist, Certified Registered | 3215 N NORTHHILLS BLVD FAYETTEVILLE, AR 72703 (918) 664-9892 |
| 1245247535 | DR. ROBERT A IRWIN MD Individual | Emergency Medicine | 3215 N NORTHHILLS BLVD FAYETTEVILLE, AR 72703 (479) 713-1000 |
| 1346257623 | DR. JAMES RUSSELL HOLDEN MD Individual | Family Medicine | 3215 N NORTHHILLS BLVD FAYETTEVILLE, AR 72703 (479) 713-1000 |
| 1841207131 | DR. MICHAEL DOUGLAS MEYER MD Individual | Emergency Medicine | 3215 N NORTHHILLS BLVD FAYETTEVILLE, AR 72703 (479) 713-1000 |
| 1548351380 | ROBERT MORRIS M.D. Individual | Radiology (Diagnostic Radiology) | 3215 N NORTHHILLS BLVD FAYETTEVILLE, AR 72703 (479) 968-7930 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366408973, enumerated in the NPI registry as an "organization" on April 22, 2006
The provider is located at 3215 N Northhills Blvd Washington Regional Psychiatric Clinic Fayetteville, Ar 72703 and the phone number is (479) 463-2004
This medical organization specializes in Psychiatry & Neurology with taxonomy code 2084P0805X with a focus in Geriatric Psychiatry
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 04D2292064 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on April 22, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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