Northland Dependency Services, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

1264-8522 Issued in MO

Legal business name

NORTHLAND DEPENDENCY SERVICES, LLC

Practice address

26 S Gallatin St
Liberty, MO 64068-2302

Phone

(816) 781-8999

Fax

(816) 792-2883

NPI assigned

May 5, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Christine S Schloss, RSAP

Title

Director

Phone

(816) 781-8999

Specialties & licenses 1

Addresses

Other names 1

• Northland Correctional Services Other name

Locations

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1366618852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 S GALLATIN ST",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640682302",
            "telephone_number": "816-781-8999",
            "fax_number": "816-792-2883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 S GALLATIN ST",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640682302",
            "telephone_number": "816-781-8999",
            "fax_number": "816-792-2883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHLAND DEPENDENCY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-05",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "SCHLOSS",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "816-781-8999",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RSAP"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "MO",
            "license": "1264-8522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northland Correctional Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Holley Noble, FNP-C
• Katy Carleen Noble
• Rachael Noland
• Susan Jeanne Nordhues, RN,MSN,ARNP
• Northland Chest Consultants, Inc.
• Northland Ear Nose & Throat PC
• Northland Eye Specialists PC
• Northland Eye Surgery Center, LLC
• Northland Hearing Associates, Inc.
• Northland Hearing Centers, Inc. (Audibel Hearing Center)

• Substance Use Disorder Rehabilitation Clinic/Center in Liberty, MO
• Providers in Liberty, MO by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; 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.