WISDOM PSYCHIATRIC CARE AND MEDICATION MANAGEMENT
NPI 1639048051
Clinic/Center - Mental Health (Including Community Mental Health Center) in Bentonville, AR

Active since November 03, 2025
3102 SE J ST, BENTONVILLE, AR 72712(320) 232-0647(567) 205-3614 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wisdom Psychiatric Care And Medication Management NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WISDOM PSYCHIATRIC CARE AND MEDICATION MANAGEMENT (NPI 1639048051) is a healthcare organization registered as a mental health (including community mental health center) in Bentonville, Arkansas and active in the NPI registry since November 2025. The organization lists Melodie Anne Kabanuk Dohm, Owner/prescriber, as its authorized official.

NPPES Registry Identity

NPI1639048051
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameWISDOM PSYCHIATRIC CARE AND MEDICATION MANAGEMENT
Location Address3102 SE J STBentonville, AR 72712-3796
Mailing Address3102 Se J StBentonville, AR 72712-3796 · (320) 232-0647 · Fax (567) 205-3614
Fax(567) 205-3614
Organization SubpartNo
Authorized OfficialMelodie Anne Kabanuk DohmOwner/prescriber · (320) 232-0647
Enumeration DateNovember 3, 2025
NPPES CertifiedNovember 3, 2025
NPI 1639048051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
3102 SE J ST, Bentonville, AR 72712

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
3102 SE J ST
BENTONVILLE, AR 72712
Chiropractor
3102 SE J ST
BENTONVILLE, AR 72712
Marriage & Family Therapist
3102 SE J ST
BENTONVILLE, AR 72712
Counselor (Mental Health)
3102 SE J ST
BENTONVILLE, AR 72712
Counselor (Professional)
3102 SE J ST
BENTONVILLE, AR 72712
Community/Behavioral Health
3102 SE J ST
BENTONVILLE, AR 72712
Counselor (Professional)
3102 SE J ST
BENTONVILLE, AR 72712
Counselor
3102 SE J ST
BENTONVILLE, AR 72712

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wisdom Psychiatric Care And Medication Management's NPI number?

The NPI number for Wisdom Psychiatric Care And Medication Management is 1639048051. It was assigned to this organization in the NPPES registry on November 3, 2025.

Where is Wisdom Psychiatric Care And Medication Management located?

Wisdom Psychiatric Care And Medication Management is located at 3102 SE J St, Bentonville, AR 72712. The listed phone number is (320) 232-0647.

What is Wisdom Psychiatric Care And Medication Management's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Wisdom Psychiatric Care And Medication Management was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.