Northwoods Psychiatric Services Inc
NPI 1417902305ActiveOrganization· Psychiatry & Neurology, Psychiatry· Bolivar, MO
Psychiatry & Neurology, Psychiatry in Bolivar, Missouri, registered in NPPES in May 2006. The authorized official on file is Denese Strange, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1417902305 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 23, 2006 |
| Last updated in NPPES | Jul 31, 2025 |
| Certified by provider | Jul 31, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychiatry & Neurology, Psychiatry Primary | 2084P0800X | — | — |
| Counselor, Professional | 101YP2500X | 2004008720 | MO |
| Counselor, Professional | 101YP2500X | 2003024990 | MO |
| Psychologist, Clinical | 103TC0700X | PY01322 | MO |
| Social Worker, Clinical | 1041C0700X | 2004015488 | MO |
| Psychiatry & Neurology, Psychiatry | 2084P0800X | R1J41 | MO |
| Clinic/Center, Adult Mental Health | 261QM0850X | — | — |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | 066643 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MO) |
|---|
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