NORTHWOOD CHILDREN'S SERVICES, INC. (NPI# 1851457758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851457758 |
| Entity Type | Organization |
| Organization Name | NORTHWOOD CHILDREN'S SERVICES, INC. |
| Other Organization Name | NORTHWOOD WEST |
| Practice Address |
4000 W 9th St Duluth MN 55807 |
| Mailing Address |
4000 W 9th St Duluth MN 55807-1563 |
| Practice Telephone | 2186280237 |
| Practice Fax Number | 2186281347 |
| Mailing Telephone | 2186280237 |
| Mailing Fax Number | 2186281347 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2018-08-27 |
| Authorized Official Name | MR. JOHN MELVIN EK (DIR. OF Q.A.) |
| Authorized Official Telephone | 2186252646 |
| Authorized Official Credential | MSW |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTHWOOD CHILDREN'S HOME SOCIETY, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 801777 | MN | Residential Treatment Facilities |
| Y | 323P00000X | Psychiatric Residential Treatment Facility | MN | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BCBS | 5A35NO | 01 |
| MN | MEDICA | 8457171 | 01 |
| Other Name | Type Code |
|---|---|
| Northwood West | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508922386 | Northwood Children's Services, Inc. | Psychologist | 1131 N 11th Ave E, Duluth, MN 55805-1517 | 2006-12-28 |
| 1194880211 | Northwood Children's Services, Inc. | Counselor | 714 W College St, Duluth, MN 55811-4906 | 2006-12-27 |
| Street Address |
4000 W 9TH ST |
| City | DULUTH |
| State | MN |
| Zip Code | 55807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861950503 | Erin C Krois | Social Worker | 4000 W 9th St, Duluth, MN 55807-1563 | 2019-03-12 |
| 1902371412 | Jessica Kay Graham | Social Worker | 4000 W 9th St, Duluth, MN 55807-1563 | 2018-10-11 |
| 1831675206 | Anna Kristine Malay | Counselor | 4000 W 9th St, Duluth, MN 55807-1563 | 2018-07-18 |
| 1528593217 | Samantha Jo Alvar | Social Worker | 4000 W 9th St, Duluth, MN 55807-1563 | 2017-05-01 |
| 1336592625 | Northwood Children's Home Society Inc | Social Worker | 4000 W 9th St, Duluth, MN 55807-1563 | 2016-07-21 |
| 1124483888 | Patricia Ann Miller | Counselor | 4000 W 9th St, Duluth, MN 55807-1563 | 2015-12-23 |
| 1619362050 | Natalie Solga | Social Worker | 4000 W 9th St, Duluth, MN 55807-1563 | 2015-04-02 |
| 1417366378 | Edward Wehmas | Social Worker | 4000 W 9th St, Duluth, MN 55807-1563 | 2014-08-05 |
| 1407106396 | Rachel N Rehbein | Counselor | 4000 W 9th St, Duluth, MN 55807-1563 | 2012-09-18 |
| 1003173907 | Melissa Ann Winkler | Social Worker | 4000 W 9th St, Duluth, MN 55807-1563 | 2012-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568918126 | Jaime Lynn Mallory | Counselor | 4000 W 9th St., Duluth, MN 55807 | 2016-09-01 |
| 1568817138 | Fathers Rise Together | Community/Behavioral Health | 319 N 22nd Ave West, Duluth, MN 55807 | 2016-05-02 |
| 1558660357 | Melissa June Huray | Counselor | 326 North Central Avenue, Duluth, MN 55807 | 2011-03-18 |
| 1376757682 | Chiropractic Health Center P A | Chiropractor | 215 North Central Ave, Duluth, MN 55807 | 2007-05-09 |
| 1639235914 | Mark Andrew Nelson Albee | Social Worker | 4214 Grand Avenue, Duluth Clinic-west, Duluth, MN 55807 | 2006-12-29 |
| 1679934012 | Rebecca Ann Peterson | Nurse Practitioner | 4325 Grand Ave, Duluth, MN 55807 | 2016-03-13 |
| 1326134529 | Jane Patricia Rudd | Family Medicine | 4212 Grand Ave, Duluth, MN 55807 | 2006-10-05 |
| 1548290257 | Kirsten I Bich | Family Medicine | 4212 Grand Ave, Essentia Health West Duluth Clinic, Duluth, MN 55807 | 2006-07-05 |
| 1033140660 | Wendell R Bonner | Family Medicine | 4212 Grand Ave, Duluth, MN 55807 | 2006-07-05 |
| 1225525645 | Mark J Engebretson | Social Worker | 5814 Elinor St, Duluth, MN 55807-1215 | 2018-04-20 |
| Find all providers in zip 55807 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619233459 | Arrowhead House | Psychiatric Residential Treatment Facility | 2217 South St, Duluth, MN 55812-2132 | 2012-04-05 |
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| 1992268726 | North Homes Inc. | Psychiatric Residential Treatment Facility | 1920 River Rd, Grand Rapids, MN 55744-4048 | 2019-04-09 |
| 1720584337 | John E Herman Home and Treatment Facility, LLC | Psychiatric Residential Treatment Facility | 351 14th Ave Sw, Rochester, MN 55902 | 2018-04-03 |
| 1669544987 | Kidspeace Mesabi Academy Inc | Psychiatric Residential Treatment Facility | 200 Wanless Street, Buhl, MN 55713 | 2006-11-14 |
| 1073543344 | Rhsc | Psychiatric Residential Treatment Facility | 1491 Sherburne Ave, Saint Paul, MN 55104 | 2006-07-03 |
| 1154869832 | Direct Care and Treatment - Forensic Services | Psychiatric Residential Treatment Facility | 100 Freeman Dr, Saint Peter, MN 56082-3504 | 2017-02-02 |
| 1538603683 | Paragon Residential Treatment for Youth LLC | Psychiatric Residential Treatment Facility | 12915 63rd Ave N, Maple Grove, MN 55369-6001 | 2016-12-08 |
| 1619375235 | Linda Maxine Nielson | Psychiatric Residential Treatment Facility | 1593 Hewitt Ave, Saint Paul, MN 55104-1221 | 2014-12-13 |
| 1730354549 | Minnesota Sex Offender Program | Psychiatric Residential Treatment Facility | 1111 Highway 73, Moose Lake, MN 55767-9452 | 2008-04-23 |
| 1639355902 | State of Minnesota | Psychiatric Residential Treatment Facility | 1111 Highway 73, Moose Lake, MN 55767-9452 | 2008-01-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.