NORTHWOODS PSYCHIATRIC SERVICES INC
NORTHWOODS PSYCHIATRIC SERVICES INC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1417902305, based in Bolivar, MO. The organization lists 6 taxonomy classifications, with Psychiatry Physician recorded as primary.
Getting there
The practice address on file is 900 E SAN MARTIN ST, Bolivar, MO 65613. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 2004008720 | MO | Professional Counselor |
| 2003024990 | MO | Professional Counselor |
| PY01322 | MO | Clinical Psychologist |
| 2004015488 | MO | Clinical Social Worker |
| R1J41 | MO | Psychiatry Physician |
| 066643 | MO | Psychiatric/Mental Health Nurse… |
This provider holds licence 2004008720 issued in MO. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 7012979974
- Enrollment ID
- O20050103000556
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Psychiatry covers
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. NUCC Health Care Provider Taxonomy, code 2084P0800X
All registered taxonomy codes
This provider registers 8 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2084P0800X | Psychiatry Physician Psychiatry | — | — | primary |
| 101YP2500X | Professional Counselor Professional | 2004008720 | MO | |
| 101YP2500X | Professional Counselor Professional | 2003024990 | MO | |
| 103TC0700X | Clinical Psychologist Clinical | PY01322 | MO | |
| 1041C0700X | Clinical Social Worker Clinical | 2004015488 | MO | |
| 2084P0800X | Psychiatry Physician Psychiatry | R1J41 | MO | |
| 261QM0850X | Adult Mental Health Clinic/Center Adult Mental Health | — | — | |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner Psychiatric/Mental Health | 066643 | MO |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1417902305 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | May 23, 2006 |
| Last updated | Jul 31, 2025 |
| Status | Active |
| Practice address |
900 E SAN MARTIN ST Bolivar, MO 65613 (417) 326-7272 Fax (417) 326-2193 |
| Mailing address |
PO BOX 49 Bolivar, MO 65613 |
| Other identifiers |
597191808
· Medicaid (MO) 505814400 · Medicaid (MO) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 4 | 1 | 7 | 9 | 0 | 2 | 3 | 0 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 4 | 2 | 7 | 9 | 0 | 4 | 3 | 0 |
Sum = 55 · next multiple of 10 = 60 · check digit = 5 · actual last digit = 5
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.