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WHITE RIVER HEALTH SYSTEM INC. NPI 1710952650


NPI Information

NPI: 1710952650
Provider Name: WHITE RIVER HEALTH SYSTEM, INC.

Doing Business As: WHITE RIVER BEHAVIORAL HEALTH

Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

CLIA Number: 04D2267019

Address:
2230 HARRISON ST
BATESVILLE, AR
ZIP 72501
Phone: (870) 698-2100
Get Directions

WHITE RIVER HEALTH SYSTEM, INC. is a psychiatry psychiatry neurology in Batesville, AR. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. WHITE RIVER HEALTH SYSTEM, INC. NPI is 1710952650. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As White River Behavioral Health.

The provider's business location address is:

2230 HARRISON ST
BATESVILLE, AR
ZIP 72501-417
Phone: (870) 698-2100
Fax: (870) 698-0109

The provider's authorized official is Kristy West .
The authorized official title is Clinic Supervisor and has the following contact phone number (870) 698-2100.

The CLIA number assigned to this NPI record is 04D2267019 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/22/2006 and was last updated on 4/17/2024.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthNo
2101YP2500XCounselorProfessionalNo
3103T00000XPsychologistNo
4103TC0700XPsychologistClinicalNo
51041C0700XSocial WorkerClinicalNo
62084P0800XPsychiatry & NeurologyPsychiatryYes
7363LP0808XNurse PractitionerPsychiatric/Mental HealthNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15C532OTHERARKANSASMEDICARE NUMBER
2141670002MEDICAIDARKANSAS

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.