ST. BERNARDS BEHAVIORAL HEALTH (NPI# 1265435002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265435002 |
Entity Type | Organization |
Organization Name | ST. BERNARDS BEHAVIORAL HEALTH |
Practice Address |
2712 E Johnson Ave Jonesboro AR 72401-1874 |
Practice Telephone | 8709322800 |
Practice Fax Number | 8709321189 |
Mailing Telephone | 8709322800 |
Mailing Fax Number | 8709321189 |
Enumeration Date | 2005-05-24 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MRS. BECKY J BURNS (BUSINESS OFFICE MANAGER) |
Authorized Official Telephone | 8702684104 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 283Q00000X | Psychiatric Hospital | AR3552 | AR | Hospitals |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | AR BLUE CROSS & BLUE SHIE | 14010 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336517283 | St. Bernards Behavioral Health | Psychiatric Hospital | 2712 E Johnson Ave, Jonesboro, AR 72401-1874 | 2015-09-09 |
1073691481 | St. Bernards Behavioral Health | Psychiatric Hospital | 2712 E Johnson Ave, Jonesboro, AR 72401-1874 | 2006-11-02 |
Street Address |
2712 E JOHNSON AVE |
City | JONESBORO |
State | AR |
Zip Code | 72401-1874 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669006359 | Megan Maureen Anderson | Nurse Practitioner | 2712 E Johnson Ave, Jonesboro, AR 72405-1874 | 2020-03-03 |
1639654213 | Trisha Burns | Nurse Practitioner | 2712 E Johnson Ave, Jonesboro, AR 72401-1874 | 2018-09-28 |
1669954434 | Whitney Lane Miller | Social Worker | 2712 E Johnson Ave, Jonesboro, AR 72401-1874 | 2018-08-29 |
1922539915 | Whitney Taylor | Registered Nurse | 2712 E Johnson Ave, Jonesboro, AR 72405-1874 | 2017-03-22 |
1427427368 | Melanie Ann Higgins | Nurse Practitioner | 2712 E Johnson Ave, Jonesboro, AR 72401-1874 | 2015-09-22 |
1336517283 | St. Bernards Behavioral Health | Psychiatric Hospital | 2712 E Johnson Ave, Jonesboro, AR 72401-1874 | 2015-09-09 |
1407163322 | Allison Leigh Russell | Nurse Practitioner | 2712 E Johnson Ave, Jonesboro, AR 72401-1874 | 2010-09-13 |
1366651036 | Eloise Estelle Weeks | Psychiatry & Neurology | 2712 E Johnson Ave, Jonesboro, AR 72401-1874 | 2007-05-21 |
1346301306 | St. Bernards Medical Center | General Acute Care Hospital | 2712 E Johnson Ave, Jonesboro, AR 72401-1874 | 2006-12-13 |
1073691481 | St. Bernards Behavioral Health | Psychiatric Hospital | 2712 E Johnson Ave, Jonesboro, AR 72401-1874 | 2006-11-02 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407453368 | Mariah Kay Jackson | Physical Therapy Assistant | Creative Kids Therapy, Jonesboro, AR 72401 | 2020-10-05 |
1821606005 | Kafayat Folake Iyanda | Specialist/Technologist | 2105 East Aggie Rd, Jonesboro, AR 72401 | 2020-07-14 |
1053936310 | Josh Roberts | Physical Therapist | 1010 South Main St, Jonesboro, AR 72401 | 2020-06-12 |
1003449687 | Amy Mary Elizabeth Daughhetee | Nurse Practitioner | 225 East Washington Ave, Jonesboro, AR 72401 | 2020-02-21 |
1871126698 | Sarah Lowtharp | Clinical Nurse Specialist | 225 East Washington Ave., Jonesboro, AR 72401 | 2020-02-20 |
1891335519 | Mallori Miller | Case Manager/Care Coordinator | 837 Willett Rd, Jonesboro, AR 72401 | 2020-01-10 |
1265073704 | Michael Bruce Collie | Registered Nurse | 837 Williett Road, Jonesboro, AR 72401 | 2019-10-07 |
1285283432 | Jonesboro Ambulatory Surgery Center, LLC | Clinic/Center | 1710 Mayfield Dr, Jonesboro, AR 72401 | 2019-09-10 |
1841843943 | Destinee Katrina Cole | Specialist/Technologist | 2015 Aggie Rd, Jonesboro, AR 72401 | 2019-07-18 |
1699250472 | Jessica Marie Mcnatt | Occupational Therapist | 907 County Road 753, Jonesboro, AR 72401 | 2018-09-27 |
Find all providers in zip 72401 |
Taxonomy Code | 283Q00000X |
Grouping | Hospitals |
Classification | Psychiatric Hospital |
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336517283 | St. Bernards Behavioral Health | Psychiatric Hospital | 2712 E Johnson Ave, Jonesboro, AR 72401-1874 | 2015-09-09 |
1073691481 | St. Bernards Behavioral Health | Psychiatric Hospital | 2712 E Johnson Ave, Jonesboro, AR 72401-1874 | 2006-11-02 |
1932204344 | St Bernards Hospital Inc | Psychiatric Hospital | 2712 E Johnson Ave, Jonesboro, AR 72401-1874 | 2006-09-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982961439 | Valley Behavioral Health System LLC | Psychiatric Hospital | 10301 Mayo Drive, Barling, AR 72923 | 2012-04-20 |
1275801706 | University of Arkansas for Medical Sciences | Psychiatric Hospital | 4224 Shuffield Drive, Little Rock, AR 72205 | 2011-12-12 |
1790925972 | Uhs of Springwoods LLC | Psychiatric Hospital | 1955 W Truckers Dr, Fayetteville, AR 72704-5637 | 2009-02-27 |
1194749408 | Jan Greer Sullivan | Psychiatric Hospital | 2200 Fort Roots Dr Bldg 58, North Little Rock, AR 72114-1709 | 2006-07-27 |
1669428785 | Living Hope Southwest Medical Services, LLC | Psychiatric Hospital | 801 Arkansas Blvd, Texarkana, AR 71854-2107 | 2006-05-26 |
1962473306 | The Bridgeway, LLC | Psychiatric Hospital | 21 Bridgeway Rd, North Little Rock, AR 72113-9514 | 2006-02-01 |
1063482735 | Uhs of Benton, LLC | Psychiatric Hospital | 100 Rivendell Dr, Benton, AR 72015-9188 | 2006-01-25 |
1295726156 | State of Arkansas | Psychiatric Hospital | 4313 W Markham St, Little Rock, AR 72205-4096 | 2005-10-31 |
1063415800 | United Methodist Behavioral Health System, Inc | Psychiatric Hospital | 1601 Murphy Drive, Maumelle, AR 72113 | 2005-05-24 |
1689130338 | Freedom Behavioral Hospital of Central Arkansas LLC | Psychiatric Hospital | 1400 Braden St, Jacksonville, AR 72076-3721 | 2019-02-19 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.