NORTH METRO MEDICAL (NPI# 1811435894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811435894 |
| Entity Type | Organization |
| Organization Name | NORTH METRO MEDICAL |
| Other Organization Name | NORTH MENTRO MENTAL HEALTH CLINIC |
| Practice Address |
1432 Braden Street Jacksonville AR 72018 |
| Practice Telephone | 5019857000 |
| Mailing Telephone | 5019857000 |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2017-02-09 |
| Authorized Official Name | MS. DAHLIA DISTIN (PROVIDER) |
| Authorized Official Telephone | 5019857000 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | A004973 | AR | Hospital Units |
| Other Name | Type Code |
|---|---|
| North Mentro Mental Health Clinic | Doing Business As Name - Organization |
| Street Address |
1432 BRADEN STREET |
| City | JACKSONVILLE |
| State | AR |
| Zip Code | 72018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144662024 | Sharron Hearn | Case Manager/Care Coordinator | 1718 Old Hot Springs Hwy, Benton, AR 72018 | 2013-07-22 |
| 1407176100 | Tracy Donilelle Conway | Social Worker | 1502 Mary Kay Blvd., Benton, AR 72018 | 2010-06-03 |
| 1881923803 | Matthew L Landers | Case Manager/Care Coordinator | 1502 Mary Kay Blvd, Benton, AR 72018 | 2009-12-22 |
| 1508917295 | Civitan Center | Day Training, Developmentally Disabled Services | 121 South Cox Street, 121 South Cox Street, Benton, AR 72018-0368 | 2007-01-16 |
| 1801008578 | Herman Harley | Social Worker | 1718 Old Hot Springs Hwy, Benton, AR 72018-1589 | 2007-05-04 |
| 1306444013 | Marvin Mcmichael | Case Manager/Care Coordinator | 105 Highway 9, Benton, AR 72018-7201 | 2020-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740224 | North Florida Collaborative Therapy | Psychologist | 9652 Morgan Creek Ct, Jacksonville, FL 32222-5808 | 2020-11-05 |
| 1477154680 | C.n.e Health Care LLC | In Home Supportive Care | 10859 Jessica Ash Dr, Jacksonville, FL 32218-6537 | 2020-11-04 |
| 1972104198 | Kristen Dragotta | Physical Therapist | 8876 A C Skinner Pkwy Unit 8215, Jacksonville, FL 32256-0909 | 2020-11-04 |
| 1376144774 | Jennifer Mcmanus | Psychologist | 4143 San Juan Ave, Jacksonville, FL 32210-3333 | 2020-11-03 |
| 1134720519 | Ashley Harms | Counselor | 4070 Herschel St Ste 1, Jacksonville, FL 32210-2239 | 2020-11-03 |
| 1063013647 | Tia Patterson | Nurse's Aide | 9415 Devonshire Blvd, Jacksonville, FL 32208-7002 | 2020-11-02 |
| 1669073128 | Kandra Williams | Pharmacist | 10148 Kings Crossing Dr, Jacksonville, FL 32219-7621 | 2020-11-02 |
| 1104427632 | Sunzup Counseling and Wellness | Community/Behavioral Health | 3355 Claire Ln Apt 1116, Jacksonville, FL 32223-6662 | 2020-11-02 |
| 1841890464 | Alice Sanchez | Dietitian, Registered | 7643 Gate Parkway, Suite 104-1128, Jacksonville, FL 32256 | 2020-11-01 |
| 1902406598 | Heidi Ellen Page | Registered Nurse | 3960 Marsh Bluff Dr, Jacksonville, FL 32226-4783 | 2020-11-01 |
| Find all providers in JACKSONVILLE | ||||
| 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 |
|---|---|---|---|---|
| 1366813404 | Passavant Memorial Area Hospital Association | Psychiatric Unit | 1600 W Walnut St, Jacksonville, IL 62650-1136 | 2015-10-15 |
| 1629318993 | St Vincents Medical Center Inc | Psychiatric Unit | 1 Shircliff Way, Jacksonville, FL 32204-4748 | 2013-02-25 |
| 1083997779 | Memorial Healthcare Group Inc | Psychiatric Unit | 3625 University Blvd S, Jacksonville, FL 32216-4207 | 2011-09-20 |
| 1912017815 | Allegiance Hospital of North Little Rock, LLC | Psychiatric Unit | 1400 Braden St., Jacksonville, AR 72076 | 2006-08-30 |
| 1619983004 | The Health Care Authority of The City of Anniston | Psychiatric Unit | 1701 Pelham Rd S, Jacksonville, AL 36265-3353 | 2006-07-31 |
| 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 |
| 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 |
| 1710931985 | Jefferson Hospital Association Inc | Psychiatric Unit | 1600 W. 40th Avenue, Pine Bluff, AR 71603-6301 | 2006-05-20 |
| 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 | JACKSONVILLE |
| Zip Code | 72018 |
Please comment or provide details below to improve the information on NORTH METRO MEDICAL.
| 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.