REGION V BOCES


Address: 3850 North Wilderness Drive, Wilson, WY 83014-0240
Phone: 3077338210

REGION V BOCES (NPI# 1801159447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801159447
Entity Type Organization
Organization Name REGION V BOCES
Practice Address 3850 North Wilderness Drive
Wilson
WY 83014-0240
Mailing Address Po Box 240
Wilson
WY 83014-0240
Practice Telephone 3077338210
Practice Fax Number 3077338462
Mailing Telephone 3077338210
Mailing Fax Number 3077338462
Enumeration Date 2012-06-19
Last Update Date 2012-06-19
Authorized Official Name MR. MAURICE KEITH MADER (SCHOOL AND CLINICAL SOCIAL WORKER)
Authorized Official Telephone 3077338210
Authorized Official Credential M.S.W./L.C.S.W.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 322D00000X Residential Treatment Facility, Emotionally Disturbed Children LCSW-291 WY Residential Treatment Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1750642526 Region V Boces Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 3850 N. Wilderness Dr., Wilson, WY 83014 2012-06-07

Office Location

Street Address 3850 NORTH WILDERNESS DRIVE
City WILSON
State WY
Zip Code 83014-0240

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730429036 Maurice Keith Mader Social Worker 3850 North Wilderness Drive, Wilson, WY 83014-0240 2013-02-22
1417295775 Mayling Sumicad Occupational Therapist 3850 North Wilderness Drive, Wilson, WY 83025 2013-01-22
1831442201 Region V Board of Cooperative Educational Services Residential Treatment Facility, Emotionally Disturbed Children 3850 North Wilderness Drive, Wilson, WY 83025 2012-10-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316551633 Keith Ryan Knudson Physical Therapist 1230 North Fall Creek Rd, Wilson, WY 83014 2020-09-03
1578121588 Nina Clark Lex Physical Therapist 1230 N Fall Creek Rd, Wilson, WY 83014 2019-06-04
1659840403 Hannah Lee Tripp Dietitian, Registered 1440 N West St., Wilson, WY 83014 2018-11-21
1902307952 Joseph Anthony Sorge Medical Genetics 5320 Pine Meadow Road, Wilson, WY 83014 2018-02-26
1184174393 Dean Woodmencey Specialist 4030 West Lake Creek Dr., Wilson, WY 83014 2016-10-12
1740657261 Peter Moffatt Counselor 7905 South Fall Creek Road, Wilson, WY 83014 2015-09-01
1669722419 Jeremy Silcox Social Worker 7905 Fall Creek Rd., Wilson, WY 83014 2012-09-19
1649533811 Harriet Elizabeth Wardle Social Worker 3850 N Wilderness Dr, Wilson, WY 83014 2012-06-21
1205197043 Laura Lea Perez Psychologist 3850 North Wilderness Dr., Wilson, WY 83014 2012-06-07
1306105689 William Douglas Odell Specialist 5445 Cottonwood Canyon Road, Wilson, WY 83014 2012-05-08
Find all providers in zip 83014

Taxonomy Information

Taxonomy Code 322D00000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Emotionally Disturbed Children

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215338231 Mary's Home Residential Treatment Facility, Emotionally Disturbed Children 1808 Birchwood Dr Se, Wilson, NC 27893-6476 2014-09-09
1447594304 Carepointe Behavioral Health Services Residential Treatment Facility, Emotionally Disturbed Children 501 Spaulding St Se, Wilson, NC 27893-6455 2012-11-15
1831324284 Phillips Residential Care Residential Treatment Facility, Emotionally Disturbed Children 305 Thurston Dr W, Wilson, NC 27893-2854 2009-05-28
1437390341 First Step Residential Services, Inc. Residential Treatment Facility, Emotionally Disturbed Children 1009 Lodge St S, Wilson, NC 27893-5801 2009-03-23
1992945828 Elegant Ladies of The Future, Inc. Residential Treatment Facility, Emotionally Disturbed Children 3720 Martha Ln N, Wilson, NC 27896-8636 2009-03-05
1811135346 Second Chance Residential Services, LLC Residential Treatment Facility, Emotionally Disturbed Children 3310 Martin Luther King Jr Pkwy Se, Wilson, NC 27893-9599 2009-01-21
1881873420 Abundance of Love Children's Homes Residential Treatment Facility, Emotionally Disturbed Children 1712 Parkway St W, Wilson, NC 27893-2733 2007-10-31
1144414780 Teton Youth and Family Services Residential Treatment Facility, Emotionally Disturbed Children 7905 S. Fall Creek Rd., Wilson, WY 83014-0290 2007-08-28
1578685863 C-v Ranch Region V Boces Residential Treatment Facility, Emotionally Disturbed Children 3850 N. Wilderness Dr., Wilson, WY 83014 2007-04-06
1831442201 Region V Board of Cooperative Educational Services Residential Treatment Facility, Emotionally Disturbed Children 3850 North Wilderness Drive, Wilson, WY 83025 2012-10-22
Find all providers in WILSON

Competitor

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City WILSON
Zip Code 83014

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Dataset Information

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.

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