Organization · Type 2 NPI

Northwoods Psychiatric Services Inc

Psychiatry Physician · Bolivar, MO

NPI number 1417902305 Active

Practice location

900 E San Martin St
Bolivar, MO 65613-2893

Fax (417) 326-2193

Mailing address

PO Box 49
Bolivar, MO 65613-0049

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X2004008720 (MO)
Professional Counselor 101YP2500X2003024990 (MO)
Clinical Psychologist 103TC0700XPY01322 (MO)
Clinical Social Worker 1041C0700X2004015488 (MO)
Psychiatry Physician 2084P0800XR1J41 (MO)
Psychiatry Physician Primary 2084P0800XNone listed
Adult Mental Health Clinic/Center 261QM0850XNone listed
Psychiatric/Mental Health Nurse Practitioner 363LP0808X066643 (MO)

Psychiatry Physician: 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 la…

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About NPI 1417902305

Northwoods Psychiatric Services Inc's National Provider Identifier is 1417902305, issued on May 23, 2006. The primary taxonomy on file is Psychiatry Physician (2084P0800X), and the practice location is in Bolivar, MO. The record was last updated on Jul 31, 2025.