Northwoods Psychiatric Services Inc
NPI 1417902305 · Psychiatry Physician · Bolivar, MO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Northwoods Psychiatric Services Inc is a Psychiatry Physician organization in Bolivar, MO (NPI 1417902305).
Provider details
- NPI number
- 1417902305
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Denese Strange, Office Manager(417) 326-7272
- License
- 2004008720 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
Mailing address
Other names (DBA / former)
- Doing business as
- Pomme De Terre Wellness Clinic
- Doing business as
- Pomme De Terre Wellness Clinic
Registry dates
- Enumerated
- 2006-05-23
- Last updated
- 2025-07-31
- Certified
- 2025-07-31
Frequently asked questions
- What is Northwoods Psychiatric Services Inc's NPI number?
- Northwoods Psychiatric Services Inc's National Provider Identifier (NPI) is 1417902305, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northwoods Psychiatric Services Inc?
- Northwoods Psychiatric Services Inc is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Northwoods Psychiatric Services Inc located?
- Northwoods Psychiatric Services Inc's practice location on file with NPPES is 900 E San Martin St, Bolivar, MO 65613-2893.
- What is Northwoods Psychiatric Services Inc's phone number?
- The practice phone number listed in the NPPES registry for Northwoods Psychiatric Services Inc is (417) 326-7272.
- Does Northwoods Psychiatric Services Inc accept Medicare?
- Northwoods Psychiatric Services Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Northwoods Psychiatric Services Inc?
- The authorized official listed on Northwoods Psychiatric Services Inc's NPPES record is Denese Strange, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northwoods Psychiatric Services Inc's NPI active?
- Yes — Northwoods Psychiatric Services Inc's NPI (1417902305) is active in the NPPES registry as of the last update on 2025-07-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.