PSYCHE NWA LLC NPI 1598644700

NPI Information

  • NPI: 1598644700
  • Provider Name: PSYCHE NWA LLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 5212 W VILLAGE PKWY STE 8
    ROGERS, AR
    ZIP 72758
  • Phone: (904) 894-9260

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NPI Details

PSYCHE NWA LLC is a psychiatric/mental health nurse practitioner in Rogers, AR. PSYCHE NWA LLC NPI is 1598644700. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5212 W VILLAGE PKWY STE 8
ROGERS, AR
ZIP 72758-190
Phone: (904) 894-9260

The provider's authorized official is Matthew Casey Jones .
The authorized official title is Owner and has the following contact phone number (870) 378-1876.

The enumeration date for this NPI number is 9/1/2025 and was last updated on 9/22/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1367500000XNurse Anesthetist, Certified RegisteredNo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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