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NORTHWEST MO PSYCHIATRIC REHABILITATION CENTER
NPI 1104879444
Psychiatric Hospital in Saint Joseph, MO

Active since May 18, 2006
3505 FREDERICK AVE, SAINT JOSEPH, MO 64506(816) 387-2300(816) 387-2329 Get Directions Write a Review

NPPES record last updated: October 27, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 27, 2020, Aug 28, 2019 (2 updates tracked since 2019).

About Northwest Mo Psychiatric Rehabilitation Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHWEST MO PSYCHIATRIC REHABILITATION CENTER (NPI 1104879444) is a healthcare organization registered as a psychiatric hospital in Saint Joseph, Missouri and active in the NPI registry since May 2006. The organization lists Molly Jane Boeckmann, Director Of Administrative Services, as its authorized official.

NPPES Registry Identity

NPI1104879444
Entity TypeOrganization
Primary Taxonomy283Q00000X
Legal Business NameSTATE OF MISSOURI
Location Address3505 FREDERICK AVESaint Joseph, MO 64506-2914
Mailing AddressPo Box 687Jefferson City, MO 65102-0687 · (573) 751-3398 · Fax (573) 526-4560
Phone(816) 387-2300
Fax(816) 387-2329
Organization SubpartYes
Authorized OfficialMolly Jane BoeckmannDirector Of Administrative Services · (573) 751-4055
Enumeration DateMay 18, 2006
Last NPPES UpdateOctober 27, 20202 updates tracked since enumeration
NPPES CertifiedOctober 27, 2020
✔ NPI 1104879444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatric HospitalHospitals
Taxonomy Code283Q00000X
License✔ Licensed in MO · EXEMPT
Definition

An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.

3505 FREDERICK AVE, Saint Joseph, MO 64506
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Other Names 1

Doing Business AsNorthwest Mo Psychiatric Rehabilitation Center

Other Identifiers 1

Medicaid050157700MO

Hospital Quality Ratings CMS Care Compare

Quality and patient-experience ratings for Northwest Missouri Psychiatric Rehab Ctr (CMS certification number 264007), from CMS Care Compare.

Northwest Missouri Psychiatric Rehab Ctr

Psychiatric · Saint Joseph, MO
OwnershipGovernment - State
CMS Certification Number264007
Location3505 Frederick AvenueSaint Joseph, MO 64502 · Buchanan County · (816) 387-2300

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEATHER MCMAHON PSY.D.
Psychologist
3505 FREDERICK AVE
SAINT JOSEPH, MO 64506
Buchanan County (816) 387-2809
DR. STEVEN CLARK STONER PHARM.D., BCPP
Pharmacist (Psychiatric)
3505 FREDERICK AVE, NMPRC
SAINT JOSEPH, MO 64506
Buchanan County (816) 387-2580
MARY BETH GRABLE
Pharmacy Technician
3505 FREDERICK AVE
SAINT JOSEPH, MO 64506
Buchanan County (816) 387-2572
GAGE HERRINGTON PLPC
Counselor (Mental Health)
3505 FREDERICK AVE
SAINT JOSEPH, MO 64506
Buchanan County (816) 387-2300
HELYN V STRICKLAND DMIN; MTS; MS
Counselor (Professional)
3505 FREDERICK AVE
SAINT JOSEPH, MO 64506
Buchanan County (816) 387-2824
DR. JIMMIE DEAN ALLEN ED.D
Psychologist
3505 FREDERICK AVE
SAINT JOSEPH, MO 64506
Buchanan County (816) 387-2615
DR. RINTU INTEKHAB KHAN MD
Psychiatry & Neurology (Psychiatry)
3505 FREDERICK AVE
SAINT JOSEPH, MO 64506
Buchanan County (816) 387-2300
STATE OF MISSOURI
Case Management
3505 FREDERICK AVE
SAINT JOSEPH, MO 64506
Buchanan County (816) 387-2300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is State Of Missouri's NPI number?

The NPI number for State Of Missouri is 1104879444. It was assigned to this organization in the NPPES registry on May 18, 2006. The provider is doing business as Northwest Mo Psychiatric Rehabilitation Center.

Where is State Of Missouri located?

State Of Missouri is located at 3505 Frederick Ave, Saint Joseph, MO 64506. The listed phone number is (816) 387-2300.

What is State Of Missouri's specialty?

The primary specialty registered for this NPI is Psychiatric Hospital with taxonomy code 283Q00000X.

Is State Of Missouri a Medicare-certified hospital?

Yes. Northwest Missouri Psychiatric Rehab Ctr is a Medicare-certified hospital (Psychiatric).

When was this NPI record last updated?

The NPPES record for State Of Missouri was last updated on October 27, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.