Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ryan David Mahelona

Individual provider Psychiatry Physician · NPI 1720575111

Ryan David Mahelona is a Psychiatry Physician in Fayetteville, Arkansas. Practices as a sole proprietor. Licensed in Arkansas and Arizona.

Licensed in
AR, AZ
In the registry since
2018
Specialties on file
2

Practice location Address checks out

230 W Center St
Fayetteville, AR 72701-5934
Phone: (623) 217-1716
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence E-16683 (AR)
Psychiatry Physician Taxonomy 2084P0800X · Licence 60084 (AZ)

Record details

NPI number1720575111
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 20, 2018
Last updated in NPPESOctober 3, 2024
Certification dateOctober 3, 2024

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