Springfield Behavioral Hospital, LLC

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

Legal business name

SPRINGFIELD BEHAVIORAL HOSPITAL, LLC

Practice address

2828 N National Ave
Springfield, MO 65803-4306

Phone

(415) 875-4630

NPI assigned

Jul 3, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rochelle Gerber

Title

Avp of Administrative Services

Phone

(470) 554-7903

Specialties & licenses 1

Addresses

Other names 1

• Perimeter Behavioral Hospital of Springfield Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Hospital certification: CCN 264033

Legal name

SPRINGFIELD BEHAVIORAL HOSPITAL LLC

Doing business as

PERIMETER BEHAVIORAL HOSPITAL OF SPRINGFIELD

Certification status

Active

Provider type (POS)

Hospital – Psychiatric

Participating since

Mar 14, 2019

Last certification

Mar 14, 2019

Beds

32

Ownership / control type

Private (for profit)

Organization structure

LLCProprietary

Enrollment address

2828 N National Ave
Springfield, MO 65803-4306
Hospital Psychiatric Unit

Hospital subgroups

Psychiatric

Listed as

Perimeter Behavioral Hospital of SpringfieldCCN 264033

Type

Psychiatric

Ownership

Proprietary

Medicare certification status

ActiveFrom the Provider of Services file

Emergency services

No

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Facilities with the same owner 19

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Behavioral Healthcare Center at Clarksville, LLC

  • Psychiatric Hospital
  • Clarksville, TN
  • NPI 1346570777

  Mitchell Family II Irrevocable Trust U/a Dated October 26, 2016, Mitchell Family Irrevocable Trust U/a Dated December 28, 2012, Orchard Holdings II LLC, Orchard Holdings LLC

  CMS ownership
• Behavioral Healthcare Center at Columbia, LLC

  • Psychiatric Hospital
  • Columbia, TN
  • NPI 1891000923

  Mitchell Family II Irrevocable Trust U/a Dated October 26, 2016, Mitchell Family Irrevocable Trust U/a Dated December 28, 2012, Orchard Holdings II LLC, Orchard Holdings LLC

  CMS ownership
• Behavioral Healthcare Center at Huntsville, LLC

  • Psychiatric Hospital
  • Huntsville, AL
  • NPI 1225301823

  Mitchell Family II Irrevocable Trust U/a Dated October 26, 2016, Mitchell Family Irrevocable Trust U/a Dated December 28, 2012, Orchard Holdings II LLC, Orchard Holdings LLC

  CMS ownership
• Behavioral Healthcare Center at Martin LLC

  • Psychiatric Hospital
  • Martin, TN
  • NPI 1144324831

  Mitchell Family II Irrevocable Trust U/a Dated October 26, 2016, Mitchell Family Irrevocable Trust U/a Dated December 28, 2012, Orchard Holdings II LLC, Orchard Holdings LLC

  CMS ownership
• Behavioral Healthcare Center at Memphis, LLC

  • Psychiatric Hospital
  • Memphis, TN
  • NPI 1235516097

  Mitchell Family II Irrevocable Trust U/a Dated October 26, 2016, Mitchell Family Irrevocable Trust U/a Dated December 28, 2012, Orchard Holdings II LLC, Orchard Holdings LLC

  CMS ownership
• Clarksville Nursing and Rehabilitation Center LLC

  • Skilled Nursing Facility
  • Clarksville, TN
  • NPI 1790740462

  Mitchell Family II Irrevocable Trust U/a Dated October 26, 2016, Mitchell Family Irrevocable Trust U/a Dated December 28, 2012, Orchard Holdings II LLC, Orchard Holdings LLC

  CMS ownership
• Crestview Health Care and Rehabilitation LLC

  • Skilled Nursing Facility
  • Brownsville, TN
  • NPI 1972568749

  Mitchell Family II Irrevocable Trust U/a Dated October 26, 2016, Mitchell Family Irrevocable Trust U/a Dated December 28, 2012, Orchard Holdings II LLC, Orchard Holdings LLC

  CMS ownership
• Lake Pines Hospital, LLC

  • Psychiatric Hospital
  • Kenner, LA
  • NPI 1326593898

  Holdco Perimeter LLC, Mark T Mitchell Living Trust, Mfo Perimeter LLC, Mitchell Family II Irrevocable Trust U/a Dated October 26, 2016, Mitchell Family III Irrevocable GST Trust, Mitchell Family Irrevocable Trust U/a Dated December 28, 2012, Orchard

  CMS ownership
• Lewis County Nursing and Rehabilitation Center LLC

  • Skilled Nursing Facility
  • Hohenwald, TN
  • NPI 1538124045

  Mitchell Family II Irrevocable Trust U/a Dated October 26, 2016, Mitchell Family Irrevocable Trust U/a Dated December 28, 2012, Orchard Holdings II LLC, Orchard Holdings LLC

  CMS ownership
• Lexington Health Care and Rehabilitation LLC

  • Skilled Nursing Facility
  • Lexington, TN
  • NPI 1730144155

  Mitchell Family II Irrevocable Trust U/a Dated October 26, 2016, Mitchell Family Irrevocable Trust U/a Dated December 28, 2012, Orchard Holdings II LLC, Orchard Holdings LLC

  CMS ownership
• McKenzie Healthcare and Rehabilitation Center LLC

  • Skilled Nursing Facility
  • MC Kenzie, TN
  • NPI 1457316887

  Mitchell Family II Irrevocable Trust U/a Dated October 26, 2016, Mitchell Family Irrevocable Trust U/a Dated December 28, 2012, Orchard Holdings II LLC, Orchard Holdings LLC

  CMS ownership
• Mt Juliet Health Care Center LLC

  • Skilled Nursing Facility
  • Mount Juliet, TN
  • NPI 1508821752

  Mitchell Family II Irrevocable Trust U/a Dated October 26, 2016, Mitchell Family Irrevocable Trust U/a Dated December 28, 2012, Orchard Holdings II LLC, Orchard Holdings LLC

  CMS ownership

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kyle Steven John, M.D.

  • Child & Adolescent Psychiatry Physician
  • Springfield, MO
  • NPI 1518031699
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1530576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637625600000",
    "number": "1194211037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 NORTHWINDS PKWY STE 550",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300092236",
            "telephone_number": "470-554-7902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 N NATIONAL AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658034306",
            "telephone_number": "415-875-4630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGFIELD BEHAVIORAL HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-03",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A",
        "authorized_official_last_name": "GERBER",
        "authorized_official_first_name": "ROCHELLE",
        "authorized_official_title_or_position": "AVP OF ADMINISTRATIVE SERVICES",
        "authorized_official_telephone_number": "470-554-7903"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Perimeter Behavioral Hospital of Springfield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Barry D Spoon, DO
• Leah Nicole Spoonts, FNP-C
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• Springfield Celebrate Pediatrics LLC
• Springfield Dental Partners LLC
• Springfield Dentistry 4 Kids LLC
• Springfield Ear Nose Throat & Facial Plastic Surgery
• Springfield Eye & Plastic Surgery

• All providers in Springfield, MO
• Psychiatric Hospital in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.