OrganizationActive
Boys and Girls Town Missouri
NPI 1013086842 · Emotionally Disturbed Childrens' Residential Treatment Facility · Springfield, MO
Provider details
- NPI number
- 1013086842
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Greg Shank, Therapist(417) 865-1646
- License
- 2002002751 (MO)
Specialties & taxonomies
- Emotionally Disturbed Childrens' Residential Treatment FacilityPrimary322D00000XLicense 2002002751 (MO)
Residential Treatment Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1212 W Lombard St
Springfield, MO 65806-2720
Phone: (417) 865-1646
Fax: (417) 866-1483
Street-level locationGet directions
Mailing address
412 Cardinal Ct
Nixa, MO 65714-8848
Registry dates
- Enumerated
- 2006-11-07
- Last updated
- 2009-10-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.