NORTHWOODS PSYCHIATRIC SERVICES INC NPI 1417902305

NPI Information

  • NPI: 1417902305
  • Provider Name: NORTHWOODS PSYCHIATRIC SERVICES INC
  • Classification: Psychiatry & Neurology - 2084P0800X
  • Specialization: Psychiatry
  • Entity Type: Organization
  • :
  • Address: 900 E SAN MARTIN ST
    BOLIVAR, MO
    ZIP 65613
  • Phone: (417) 326-7272

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NPI Details

NORTHWOODS PSYCHIATRIC SERVICES INC is a psychiatry psychiatry neurology in Bolivar, MO. 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. NORTHWOODS PSYCHIATRIC SERVICES INC NPI is 1417902305. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

900 E SAN MARTIN ST
BOLIVAR, MO
ZIP 65613-893
Phone: (417) 326-7272
Fax: (417) 326-2193

The provider's authorized official is Denese Strange .
The authorized official title is Office Manager and has the following contact phone number (417) 326-7272.

The enumeration date for this NPI number is 5/23/2006 and was last updated on 7/31/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessional2004008720MISSOURINo
2101YP2500XCounselorProfessional2003024990MISSOURINo
3103TC0700XPsychologistClinicalPY01322MISSOURINo
41041C0700XSocial WorkerClinical2004015488MISSOURINo
52084P0800XPsychiatry & NeurologyPsychiatryR1J41MISSOURINo
6261QM0850XClinic/CenterAdult Mental HealthNo
7363LP0808XNurse PractitionerPsychiatric/Mental Health066643MISSOURINo
82084P0800XPsychiatry & NeurologyPsychiatryYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1597191808MEDICAIDMISSOURI
2505814400MEDICAIDMISSOURI

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: 11/21/2025

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