Provider Demographics
NPI:1063259737
Name:JM PSYCHIATRY PLLC
Entity type:Organization
Organization Name:JM PSYCHIATRY PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JANETTE
Authorized Official - Middle Name:DIANE
Authorized Official - Last Name:MCGAUGH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:501-794-6037
Mailing Address - Street 1:2101 CONGO RD STE F900
Mailing Address - Street 2:
Mailing Address - City:BENTON
Mailing Address - State:AR
Mailing Address - Zip Code:72015-2750
Mailing Address - Country:US
Mailing Address - Phone:501-794-6037
Mailing Address - Fax:501-794-6140
Practice Address - Street 1:2101 CONGO RD STE F900
Practice Address - Street 2:
Practice Address - City:BENTON
Practice Address - State:AR
Practice Address - Zip Code:72015-2750
Practice Address - Country:US
Practice Address - Phone:501-794-6037
Practice Address - Fax:501-794-6140
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-10
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)