WOODRIDGE NORTHWEST, LLC (NPI# 1689020844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689020844 |
| Entity Type | Organization |
| Organization Name | WOODRIDGE NORTHWEST, LLC |
| Other Organization Name | WOODRIDGE OF THE OZARKS |
| Practice Address |
2466 S 48th St Springdale AR 72762-6683 |
| Mailing Address |
2520 Northwinds Pkwy Ste 550 Alpharetta GA 30009-2236 |
| Practice Telephone | 6158609230 |
| Practice Fax Number | 6158609228 |
| Mailing Telephone | 4705547903 |
| Enumeration Date | 2016-05-06 |
| Last Update Date | 2020-01-02 |
| Authorized Official Name | ROCHELLE GERBER (DIRECTOR OF ADMINISTRATIVE SERVICES) |
| Authorized Official Telephone | 4705547903 |
| Is Organization Subpart | Y |
| Parent Organization Name | REP WR HOLDINGS, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | 237 | AR | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 218443125 | 05 |
| Other Name | Type Code |
|---|---|
| Perimeter Behavioral of the Ozarks | Doing Business As Name - Organization |
| Woodridge of the Ozarks | Doing Business As Name - Organization |
| Street Address |
2466 S 48TH ST |
| City | SPRINGDALE |
| State | AR |
| Zip Code | 72762-6683 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427002229 | Robyn Elizabeth Benson | Genetic Counselor, MS | 2466 S 48th St, Springdale, AR 72762-6683 | 2006-05-19 |
| 1134520653 | Rachel Anderson | Counselor | 2466 S 48th St, Springdale, AR 72762-6683 | 2014-09-16 |
| 1568875284 | Alison Overton | Counselor | 2466 S 48th St, Springdale, AR 72762-6683 | 2014-06-10 |
| 1669884235 | Tyler Tennison | Counselor | 2466 S 48th St, Springdale, AR 72762-6683 | 2014-05-29 |
| 1104237445 | Karen Cockrum | Counselor | 2466 S 48th St, Springdale, AR 72762-6683 | 2014-05-08 |
| 1265851307 | Erin Clark | Counselor | 2466 S 48th St, Springdale, AR 72762-6683 | 2014-04-15 |
| 1609217272 | Melissa Kaupp | Counselor | 2466 S 48th St, Springdale, AR 72762-6683 | 2013-07-11 |
| 1265871115 | Justine Blackwell | Counselor | 2466 S 48th St, Springdale, AR 72762-6683 | 2013-06-24 |
| 1922446624 | Emily Libertini | Counselor | 2466 S 48th St, Springdale, AR 72762-6683 | 2013-06-05 |
| 1508201310 | Tristen Call | Counselor | 2466 S 48th St, Springdale, AR 72762-6683 | 2013-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861013443 | Samantha G Abbey | Behavior Technician | 6836 Issac's Orchard Rd, Springdale, AR 72762 | 2020-05-05 |
| 1598393605 | Highlands Oncology Group Pa | Pharmacy | 3901 Parkway Circle, Springdale, AR 72762 | 2020-04-01 |
| 1366922320 | Mercy Northwest Arkansas Ambulatory Services LLC | Clinic/Center | 4962 Elm Springs Road, Suite 5, Springdale, AR 72762 | 2018-08-20 |
| 1790281087 | Cheryl Nikol Treat | Nurse Practitioner | 6801 Isaacs Orchard Rd Ste 211, Springdale, AR 72762 | 2018-04-04 |
| 1902304876 | Northwest Arkansas Physical Ability Testing Center, P.a. | Clinic/Center | 4001 Wagon Wheel Road, Springdale, AR 72762 | 2018-01-25 |
| 1609387612 | Rodriguez Dentistry Pllc | Dentist | 1521 Executive Place, Suite A, Springdale, AR 72762 | 2017-10-17 |
| 1306370630 | Medworks LLC | Internal Medicine | 986 Elmwood, Suite C, Springdale, AR 72762 | 2017-04-13 |
| 1790223006 | Sam's West, Inc. | Technician/Technologist | 1517 Gene George Blvd, Springdale, AR 72762 | 2017-02-07 |
| 1255875746 | Arkansas Childrens Northwest, Inc. | General Acute Care Hospital | 2601 South 56th Street, Springdale, AR 72762 | 2016-12-19 |
| 1114473261 | Whitney E Mix | Counselor | 1672 South 48th Street, Suite B, Springdale, AR 72762 | 2016-08-29 |
| Find all providers in zip 72762 | ||||
| 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 |
|---|---|---|---|---|
| 1932746070 | Habilitation Center, LLC | Psychiatric Residential Treatment Facility | 161 Skunk Hollow Road, Conway, AR 72032 | 2019-12-09 |
| 1225211741 | Woodridge of Forrest City, LLC | Psychiatric Residential Treatment Facility | 603 Kittel Rd, Forrest City, AR 72335-7728 | 2007-12-06 |
| 1447380423 | Piney Ridge Treatment Center, LLC | Psychiatric Residential Treatment Facility | 4253 Crossover Rd, Fayetteville, AR 72703 | 2007-03-07 |
| 1114915840 | Psychiatric Services, Inc | Psychiatric Residential Treatment Facility | 5208 Kavanaugh Blvd, Suite 4, Little Rock, AR 72207-4609 | 2005-10-06 |
| 1154707461 | Valley Behavioral Health System, LLC | Psychiatric Residential Treatment Facility | 10301 Mayo Dr, Barling, AR 72923-1660 | 2015-08-10 |
| 1013278233 | Ladonna Kay Delee | Psychiatric Residential Treatment Facility | 3204 E Moore Ave, Searcy, AR 72143-4826 | 2012-06-05 |
| 1396999801 | Youth Home, Inc | Psychiatric Residential Treatment Facility | 20400 Colonel Glenn Rd, Little Rock, AR 72210 | 2008-11-11 |
| 1134305436 | Woodridge Northeast, LLC | Psychiatric Residential Treatment Facility | 600 N 7th St, West Memphis, AR 72301 | 2008-01-16 |
| 1104033976 | Ameris of Arkansas, LLC | Psychiatric Residential Treatment Facility | 611 W Lee Ave, Osceola, AR 72370-3001 | 2007-05-17 |
| 1083820146 | Youth Home, Inc | Psychiatric Residential Treatment Facility | 20400 Colonel Glenn Rd, Little Rock, AR 72210-5323 | 2007-05-15 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGDALE |
| Zip Code | 72762 |
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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.