NORTHWEST REGIONAL YOUTH CENTER (NPI# 1740503978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740503978 |
| Entity Type | Organization |
| Organization Name | NORTHWEST REGIONAL YOUTH CENTER |
| Practice Address |
4901 Ne Barry Rd Kansas City MO 64156-1219 |
| Practice Telephone | 8164373656 |
| Practice Fax Number | 8164373660 |
| Mailing Telephone | 8164373656 |
| Mailing Fax Number | 8164373660 |
| Enumeration Date | 2010-03-02 |
| Last Update Date | 2010-03-02 |
| Authorized Official Name | MS. SONDRA GAYNELLE HAWK (LPN II) |
| Authorized Official Telephone | 8164373656 |
| Authorized Official Credential | LPN |
| Is Organization Subpart | Y |
| Parent Organization Name | STATE OF MISSOURI |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities |
| Street Address |
4901 NE BARRY RD |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64156-1219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831411297 | Sondra Gaynelle Hawk | Licensed Practical Nurse | 4901 Ne Barry Rd, Kansas City, MO 64156-1219 | 2010-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598907750 | Julia Theresa Kovac | Counselor | 11923 Ne Sherman Rd, Kansas City, MO 64156-1056 | 2009-04-01 |
| 1558803635 | Virginia Diana Davis | Physical Therapy Assistant | 9100 N Essex Dr, Kansas City, MO 64156-1086 | 2016-11-07 |
| 1689208332 | Josie Ryan Smith | Technician | 10450 Ne Reinking Rd, Kansas City, MO 64156-1122 | 2020-03-02 |
| 1265066914 | Tammy Louise Waldon | Technician | 10450 Ne Reinking Rd, Kansas City, MO 64156-1122 | 2020-03-02 |
| 1023634599 | Sibree L Vickers | Nurse Practitioner | 3627 Ne 85th St, Kansas City, MO 64156-1309 | 2020-06-22 |
| 1417394164 | Renee Lynn Dupaul | Occupational Therapy Assistant | 9120 N Mersington Ave, Kansas City, MO 64156-3015 | 2013-06-03 |
| 1477872794 | Jennifer Norman | Speech-Language Pathologist | 3000 Ne 108th St, Kansas City, MO 64156-6314 | 2010-05-26 |
| 1114491339 | Sarah Elizabeth Bray | Speech-Language Pathologist | 9043 N Lawn Ave, Kansas City, MO 64156-6327 | 2019-01-22 |
| 1861882268 | Brenda Krier | Physical Therapy Assistant | 8415 N Kensington Ave, Kansas City, MO 64156-7813 | 2015-01-23 |
| 1770194565 | Heart 2 Heart Homes LLC | Counselor | 7001 Ne 116th Ter, Kansas City, MO 64156-7926 | 2020-08-13 |
| Find all providers in zip 64156 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962995993 | The Bridge Home for Children | Residential Treatment Facility, Emotionally Disturbed Children | 6033 Swope Pkwy, Kansas City, MO 64130-4461 | 2018-06-13 |
| 1720447212 | Corner Stones of Care | Residential Treatment Facility, Emotionally Disturbed Children | 300 E 36th St, Kansas City, MO 64111-1410 | 2016-02-12 |
| 1215252689 | Joshua David Boydston | Residential Treatment Facility, Emotionally Disturbed Children | 8150 Wornall Rd, Kansas City, MO 64114-5806 | 2010-03-29 |
| 1184764151 | Kvc Hospitals Inc | Residential Treatment Facility, Emotionally Disturbed Children | 4300 Brenner Dr, Kansas City, KS 66104-1163 | 2007-02-07 |
| 1598810582 | Niles Home for Children | Residential Treatment Facility, Emotionally Disturbed Children | 1911 E 23rd St, Kansas City, MO 64127-3701 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609474204 | Whetstone Boys Ranch | Residential Treatment Facility, Emotionally Disturbed Children | 6850 County Road 2660, Mountain View, MO 65548-8146 | 2020-10-15 |
| 1437675477 | Kybama, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 12729 Stoney Point Rd, Bonne Terre, MO 63628 | 2017-08-22 |
| 1568914927 | Clear Creek Counseling | Residential Treatment Facility, Emotionally Disturbed Children | 3646 N Farm Road 89, Willard, MO 65781-8330 | 2016-11-01 |
| 1619330578 | Farmer Grove Homesteads Incorporated | Residential Treatment Facility, Emotionally Disturbed Children | 533 E Bedford St, Marshfield, MO 65706-1218 | 2016-03-29 |
| 1558729509 | Cayman's House of Hope, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 311 N Poplar St, Fair Play, MO 65649-9299 | 2016-02-05 |
| 1639503691 | Proverb Academy, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 420 Carroll St, Morehouse, MO 63868 | 2013-08-27 |
| 1306147277 | Fair Haven Children's Home | Residential Treatment Facility, Emotionally Disturbed Children | 3132 N Fair Haven Loop, Strafford, MO 65757-8619 | 2010-11-09 |
| 1437470184 | Ozarks Teen Challenge | Residential Treatment Facility, Emotionally Disturbed Children | 512 Purist Lane, Branson West, MO 65737 | 2010-06-17 |
| 1275850869 | Victory Mountain, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 148 Bowling Ln, Ironton, MO 63650-4148 | 2010-04-22 |
| 1922337583 | Doulos Ministries, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 3205 N Twyman Rd, Independence, MO 64058-3211 | 2009-12-10 |
| Find all providers with the same taxonomy | ||||
| City | KANSAS CITY |
| Zip Code | 64156 |
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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.