N/A (NPI# 1639561103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639561103 |
| Entity Type | Organization |
| Organization Name | N/A |
| Practice Address |
6814 Princeton Pike Pine Bluff AR 71602-9411 |
| Mailing Address |
Po Box 13585 Maumelle AR 72113-0585 |
| Practice Telephone | 5013533765 |
| Enumeration Date | 2015-02-20 |
| Last Update Date | 2015-02-20 |
| Authorized Official Name | DR. SHAWN MICHAEL RICHARD (PHYSICIAN) |
| Authorized Official Telephone | 5018033418 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 273R00000X | Psychiatric Unit | 022748 | LA | Hospital Units |
| Y | 273R00000X | Psychiatric Unit | E-5344 | AR | Hospital Units |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811428980 | N/a | Nurse Practitioner | 6045 Sw 162nd Ave, Miami, FL 33193-5805 | 2017-03-21 |
| 1346783776 | N/a | Exclusive Provider Organization | Av. Tecnologico 183, Nuevo Laredo, TAMAULIPAS 88275 | 2016-12-03 |
| 1871953216 | N/a | Community/Behavioral Health | 1203 Saint Lawrence Ave, Beloit, WI 53511-5067 | 2016-02-27 |
| 1205207511 | N/a | Home Health | 3051 Elyria Ave, Lorain, OH 44055-1449 | 2015-10-13 |
| 1245652247 | N/a | Home Health | 2261 S Sherman Cir, Apt. A204, Miramar, FL 33025-2294 | 2014-01-09 |
| 1871868927 | N/a | Skilled Nursing Facility | 3108 Island Ct, Jeffersonville, IN 47130-8058 | 2012-03-21 |
| 1801163118 | N/a | Registered Nurse | 29078 Providence Rd, Temecula, CA 92591-5597 | 2011-11-30 |
| 1871888388 | N/a | Assisted Living Facility | 2998 W Mcmicken Ave # 1, Cincinnati, OH 45225-2362 | 2011-06-13 |
| 1861782898 | N/a | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1318 Pennsylvania Ave, Saint Louis, MO 63133-1036 | 2011-04-11 |
| 1194055749 | N/a | Community/Behavioral Health | 4051 Lone Tree Way Ste C, Antioch, CA 94531-6204 | 2010-01-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | N/A | 3117 Apple Rd Ne, Washington, DC 20018-1605 |
| Colorado Business Entities | n/a | 4165 Plum Creek Mdws Rd., Sedalia, CO 80135 |
| Washington State Corporations | N/A CEDAR HEIGHTS-52, A WASHINGTON LIMITED PARTNERSHIP | 999 3rd Ave #1900, Seattle, WA 98104 |
| Oregon Corporations, Companies and Business Names | N/A COLONNADE-83, LIMITED PARTNERSHIP | 920 Garden St Ste A, Santa Barbara, CA 93101 |
| Colorado Business Entities | N/A Courtney Downs-89, L.P. | 920 Garden Street, Suite A, Santa Barbara, CA 93101 |
| Washington State Corporations | N/A EAGLE RANCH-67 LIMITED PARTNERSHIP | 101 Capitol Way N, Olympia, WA 98501 |
| System for Award Management (SAM) Entities | N/A INDIVIDUAL | 900 N. Lake Shore Drive Apt 402, Chicago, IL 60611-1596 |
| Colorado Business Entities | N/A Lambertson Farms-86, L.P. | 920 Garden St Ste A, Santa Barbara, CA 93101-7465 |
| Washington State Corporations | N/A MARINERS' GLEN-68, LP | 920 Garden St, Santa Barbara, CA 93101 |
| Washington State Corporations | N/A MILL PLAIN-84, L.P. | 920 Garden St, Santa Barbara, CA 93101 |
| Street Address |
6814 PRINCETON PIKE |
| City | PINE BLUFF |
| State | AR |
| Zip Code | 71602-9411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295133791 | Correct Care Solutions | Health Maintenance Organization | 6814 Princeton Pike, Pine Bluff, AR 71602-9411 | 2014-12-15 |
| 1316330681 | Correct Care Solutions | Dentist | 6814 Princeton Pike, Pine Bluff, AR 71602-9411 | 2015-03-11 |
| 1790954584 | John Roland Anderson | Family Medicine | 6814 Princeton Pike, Pine Bluff, AR 71602 | 2008-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265050447 | Bridget Furlong | Occupational Therapist | 2226 Barncy Lane, White Hall, AR 71602 | 2020-07-14 |
| 1609399963 | Interventional Surgery Institute of White Hall LLC | Clinic/Center | 7211 Dollarway Road, White Hall, AR 71602 | 2017-07-19 |
| 1679935761 | Pain Treatment Centers of America, Pllc | Durable Medical Equipment & Medical Supplies | 7211 Dollarway Rd, White Hall, AR 71602 | 2016-03-28 |
| 1326450446 | Rafeek Hegazy | Anesthesiology | 202 Frankie Ln, White Hall, AR 71602 | 2014-05-22 |
| 1275873515 | Craig Paul Anderson | Preventive Medicine | 13-020 Kabrich Circle, Pine Bluff, AR 71602 | 2013-02-24 |
| 1124258553 | Shellia Anne Kornegay | Nurse Practitioner | 1515 West 42nd Street, Pine Bluff, AR 71602 | 2009-07-20 |
| 1275789109 | Sarah Allison Rushing | Speech-Language Pathologist | 1020 West Holland Avenue, White Hall, AR 71602 | 2008-08-12 |
| 1245438852 | White Hall School District | Local Education Agency (LEA) | 1020 West Holland, White Hall, AR 71602 | 2007-07-05 |
| 1972622652 | Dewey Charles Scarbrough | Physician Assistant | 109 Frankie Lane, White Hall, AR 71602 | 2007-03-27 |
| 1427126135 | Donna D Massey | Dentist | 7215 Sheridan Road, White Hall, AR 71602 | 2006-12-01 |
| Find all providers in zip 71602 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710931985 | Jefferson Hospital Association Inc | Psychiatric Unit | 1600 W. 40th Avenue, Pine Bluff, AR 71603-6301 | 2006-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871091355 | University of Arkansas for Medical Sciences | Psychiatric Unit | 3001 W Roosevelt Rd, Little Rock, AR 72204-5658 | 2018-01-30 |
| 1811435894 | North Metro Medical | Psychiatric Unit | 1432 Braden Street, Jacksonville, AR 72018 | 2017-02-09 |
| 1790990240 | Dardanelle Community Hospital LLC | Psychiatric Unit | 200 North Third Street, Dardanelle, AR 72834 | 2007-05-10 |
| 1538289491 | Veterans Administration | Psychiatric Unit | 6390 Cash Mountain Rd, Malvern, AR 72104-9137 | 2007-04-01 |
| 1659421527 | Veterans Hospital North Little Rock | Psychiatric Unit | 2713 Janet, Benton, AR 72015-2671 | 2007-01-11 |
| 1063407138 | Washington Regional Medical Center | Psychiatric Unit | 1125 N College Ave, Fayetteville, AR 72703-1908 | 2005-09-15 |
| 1710442801 | St Vincent Infirmary Medical Center | Psychiatric Unit | 2 Saint Vincent Cir, Little Rock, AR 72205-5423 | 2019-02-04 |
| 1477039782 | Baptist Health Regional Hospitals | Psychiatric Unit | 1001 Towson Ave, Fort Smith, AR 72901-4921 | 2018-07-19 |
| 1275029480 | John Ed Chambers Memorial Hospital, Inc | Psychiatric Unit | 719 Detroit Ave, Danville, AR 72833-9607 | 2018-07-11 |
| 1851761837 | Baptist Health Hospitals | Psychiatric Unit | 1703 N Buerkle St, Stuttgart, AR 72160-3153 | 2015-10-02 |
| Find all providers with the same taxonomy | ||||
| City | PINE BLUFF |
| Zip Code | 71602 |
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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.