MOUNTAIN HOME PSYCHIATRIC MEDICINE, PA
NPI 1962653063
Psychiatry & Neurology - Psychiatry in Mountain Home, AR

Q: What is Mountain Home Psychiatric Medicine, PA's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Active since October 07, 2008

204 N COLLEGE ST, MOUNTAIN HOME, AR 72653(870) 424-4804(870) 424-8651 Get Directions Write a Review

NPPES record last updated: June 2, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Mountain Home Psychiatric Medicine, Pa NPPES

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

MOUNTAIN HOME PSYCHIATRIC MEDICINE, PA (NPI 1962653063) is a healthcare organization registered as a psychiatry in Mountain Home, Arkansas and active in the NPI registry since October 2008. The organization lists Annette S Walden, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1962653063

Entity TypeOrganization

Primary Taxonomy2084P0800X

Legal Business NameMOUNTAIN HOME PSYCHIATRIC MEDICINE, PA

Location Address204 N COLLEGE STMountain Home, AR 72653-3654

Mailing AddressPo Box 387Mountain Home, AR 72654-0387 · (870) 424-4804 · Fax (870) 424-8651

Phone(870) 424-4804

Fax(870) 424-8651

Organization SubpartNo

Authorized OfficialAnnette S WaldenOffice Manager · (870) 424-4804

Enumeration DateOctober 7, 2008

Last NPPES UpdateJune 2, 2023

NPPES CertifiedJune 2, 2023

✔ NPI 1962653063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Definition

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.

204 N COLLEGE ST, Mountain Home, AR 72653

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mountain Home Psychiatric Medicine, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 4 clinicians reassign Medicare billing to Mountain Home Psychiatric Medicine, PA, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Philip Brown, PHD

Clinical Psychologist

NPI 1861639940

204 NORTH COLLEGE STREET
Mountain Home, AR 72653

(870) 424-4804

✔ PECOS✔ Accepts MedicareSame address

Amy Hickman, APRN-CNP

Nurse Practitioner

NPI 1902683980

204 N COLLEGE ST
Mountain Home, AR 72653

(870) 424-4804

✔ PECOS✔ Accepts MedicareSame address

Audrey Sadler, APRN

Nurse Practitioner

NPI 1083504088

204 N COLLEGE ST
Mountain Home, AR 72653

(870) 424-4804

✔ PECOS✔ Accepts MedicareSame address

Thomas Walden, MD

Psychiatry

NPI 1508897307

204 N COLLEGE ST
Mountain Home, AR 72653

(870) 424-4804

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Mountain Home Psychiatric Medicine, PA's NPI number?

The NPI number for Mountain Home Psychiatric Medicine, PA is 1962653063. It was assigned to this organization in the NPPES registry on October 7, 2008.

Where is Mountain Home Psychiatric Medicine, PA located?

Mountain Home Psychiatric Medicine, PA is located at 204 N College St, Mountain Home, AR 72653. The listed phone number is (870) 424-4804.

What is Mountain Home Psychiatric Medicine, PA's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Mountain Home Psychiatric Medicine, PA enrolled in Medicare?

Yes. Mountain Home Psychiatric Medicine, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mountain Home Psychiatric Medicine, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Mountain Home Psychiatric Medicine, PA, in Clinical Psychologist, Nurse Practitioner and Psychiatry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mountain Home Psychiatric Medicine, PA accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Mountain Home Psychiatric Medicine, PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mountain Home Psychiatric Medicine, PA was last updated on June 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.