NORTHWOODS PSYCHIATRIC SERVICES INC
NPI 1417902305
Psychiatry & Neurology - Psychiatry in Bolivar, MO

Q: What is Northwoods Psychiatric Services Inc's NPI number?

The NPI number for Northwoods Psychiatric Services Inc is 1417902305. It was assigned to this organization in the NPPES registry on May 23, 2006. The provider is doing business as Pomme de Terre Wellness Clinic.

Q: What is Northwoods Psychiatric Services Inc's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Active since May 23, 2006

900 E SAN MARTIN ST, BOLIVAR, MO 65613(417) 326-7272(417) 326-2193 Get Directions Write a Review

NPPES record last updated: July 31, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 10, 2024, Jun 3, 2020 (2 updates tracked since 2020).

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About Northwoods Psychiatric Services Inc NPPES

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

NORTHWOODS PSYCHIATRIC SERVICES INC (NPI 1417902305), doing business as Pomme De Terre Wellness Clinic, is a healthcare organization registered as a psychiatry in Bolivar, Missouri and active in the NPI registry since May 2006. The organization lists Denese Strange, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1417902305

Entity TypeOrganization

Primary Taxonomy2084P0800X

Legal Business NameNORTHWOODS PSYCHIATRIC SERVICES INC

Location Address900 E SAN MARTIN STBolivar, MO 65613-2893

Mailing AddressPo Box 49Bolivar, MO 65613-0049 · (417) 326-7272 · Fax (417) 326-2193

Phone(417) 326-7272

Fax(417) 326-2193

Organization SubpartNo

Authorized OfficialDenese StrangeOffice Manager · (417) 326-7272

Enumeration DateMay 23, 2006

Last NPPES UpdateJuly 31, 20252 updates tracked since enumeration

NPPES CertifiedJuly 31, 2025

✔ NPI 1417902305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in MO · R1J41

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 ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 2004008720 (MO), 2003024990 (MO)

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PY01322 (MO)

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 2004015488 (MO)

Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 066643 (MO)

900 E SAN MARTIN ST, Bolivar, MO 65613

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Other Names 1

Doing Business AsPomme De Terre Wellness Clinic

Other Identifiers 2

Medicaid597191808MO

Medicaid505814400MO

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northwoods Psychiatric Services Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Northwoods Psychiatric Services Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Angela Olomon, DO, FACN

Psychiatry

NPI 1487618062

900 E SAN MARTIN ST
Bolivar, MO 65613

(417) 326-7272

✔ PECOS✔ Accepts MedicareSame address

John Howell, PSYD

Clinical Psychologist

NPI 1629032727

714 N POMME DE TERRE AVE
Bolivar, MO 65613

(417) 326-7272

✔ PECOS✔ Accepts Medicare2.3 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Northwoods Psychiatric Services Inc's NPI number?

The NPI number for Northwoods Psychiatric Services Inc is 1417902305. It was assigned to this organization in the NPPES registry on May 23, 2006. The provider is doing business as Pomme de Terre Wellness Clinic.

Where is Northwoods Psychiatric Services Inc located?

Northwoods Psychiatric Services Inc is located at 900 E San Martin St, Bolivar, MO 65613. The listed phone number is (417) 326-7272.

What is Northwoods Psychiatric Services Inc's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Northwoods Psychiatric Services Inc enrolled in Medicare?

Yes. Northwoods Psychiatric Services Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northwoods Psychiatric Services Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Northwoods Psychiatric Services Inc, in Clinical Psychologist and Psychiatry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Northwoods Psychiatric Services Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Northwoods Psychiatric Services Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Northwoods Psychiatric Services Inc was last updated on July 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.