NPIMap

Organization Active NPI

Northwood Children'S Home Society Inc

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Duluth, MN
National Provider Identifier
1295891083
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
801777 Issued in MN
Legal business name
NORTHWOOD CHILDREN'S HOME SOCIETY INC
Practice address
510 W Quince St
Duluth, MN 55811
Phone
(218) 625-0189
NPI assigned
Dec 28, 2006
Organization subpart
Yes
Parent organization
NORTHWOOD CHILDREN'S HOME SOCIETY, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Authorized official

Name
Ms. Melissa Winkler, LICSW
Title
Director of Quality Assurance
Phone
(218) 625-2638

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 801777 MN Primary

Addresses

Primary practice location

510 W Quince St
Duluth, MN 55811

Mailing address

4000 W 9TH St
Duluth, MN 55807-1563
Phone (218) 724-3472

Other identifiers 2

IdentifierTypeStateIssuer
0292NOOtherBCBS
8457171OtherMEDICA

Other names 1

  • Northwood Children's Services DA Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Northwood Children'S Home Society Inc9 organizations share this tax ID, including this one
Part of
Northwood Children'S Home Society Inc

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620777600000",
    "number": "1295891083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 W 9TH ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558071563",
            "telephone_number": "218-724-3472",
            "fax_number": "218-724-3843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 W QUINCE ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "55811",
            "telephone_number": "218-625-0189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWOOD CHILDREN'S HOME SOCIETY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHWOOD CHILDREN'S HOME SOCIETY, INC",
        "enumeration_date": "2006-12-28",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A",
        "authorized_official_last_name": "WINKLER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "DIRECTOR OF QUALITY ASSURANCE",
        "authorized_official_telephone_number": "218-625-2638",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "MN",
            "license": "801777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0292NO",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "8457171",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwood Children's Services DA Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Northwood Children's Services DA Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Duluth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.