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NORTHWEST MO PSYCHIATRIC REHABILITATION CENTER
NPI 1386691657
Psychiatry & Neurology - Psychiatry in Saint Joseph, MO

Active since May 30, 2006
3505 FREDERICK AVE, SAINT JOSEPH, MO 64506(816) 387-2300(816) 387-2329 Get Directions Write a Review

NPPES record last updated: September 3, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 3, 2020, Aug 26, 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 1386691657) is a healthcare organization registered as a psychiatry 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

NPI1386691657
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameSTATE OF MISSOURI
Location Address3505 FREDERICK AVESaint Joseph, MO 64506-2914
Mailing Address1706 E Elm StJefferson City, MO 65101-4130 · (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 30, 2006
Last NPPES UpdateSeptember 3, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2020
✔ NPI 1386691657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
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.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
Also ListedFamily MedicineTaxonomy 207Q00000X
3505 FREDERICK AVE, Saint Joseph, MO 64506
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Other Names 1

Doing Business AsNorthwest Mo Psychiatric Rehabilitation Center

Other Identifiers 1

Medicaid500157706MO

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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
STATE OF MISSOURI
Psychiatric Hospital
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

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 1386691657. It was assigned to this organization in the NPPES registry on May 30, 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 Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for State Of Missouri was last updated on September 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.