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

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: July 26, 2026.

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

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 Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Other Providers at the Same Location NPPES 4

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

MRS. MATTRACEA WENDLETON LPC
Counselor
900 E SAN MARTIN ST
BOLIVAR, MO 65613
Polk County (417) 501-9722
MR. JUSTIN LEE JOHNS LCSW
Social Worker (Clinical)
900 E SAN MARTIN ST
BOLIVAR, MO 65613
Polk County (417) 501-6138
TOMMIE L MILLER LCSW
Social Worker (Clinical)
900 E SAN MARTIN ST
BOLIVAR, MO 65613
Polk County (417) 326-7272
DR. ANGELA SUZZANNE OLOMON DO, FACN
Psychiatry & Neurology (Psychiatry)
900 E SAN MARTIN ST
BOLIVAR, MO 65613
Polk County (417) 326-7272

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.

What insurance does Northwoods Psychiatric Services Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan 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 with the weekly NPPES data releases published by CMS.