Northwoods Psychiatric Services Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

NORTHWOODS PSYCHIATRIC SERVICES INC

Doing business as

Pomme de Terre Wellness Clinic

Practice address

900 E San Martin St
Bolivar, MO 65613-2893

Phone

(417) 326-7272

Fax

(417) 326-2193

NPI assigned

May 23, 2006

Last updated

Jul 31, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Denese Strange

Title

Office Manager

Phone

(417) 326-7272

Specialties & licenses 8

Addresses

Other identifiers 2

Other names 1

• Pomme de Terre Wellness Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Frank Howell, PSYD

  • Forensic Psychologist
  • Bolivar, MO
  • NPI 1629032727

  Clinical

  Medicare reassignment Care Compare group NPD
• Angela Suzzanne Olomon, DO, FACN

  • Psychiatry Physician
  • Bolivar, MO
  • NPI 1487618062
  Medicare reassignment Care Compare group NPD
• Melanie Nicole Beckham, RN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Monett, MO
  • NPI 1669097119
  NPD
• Lynae Rachelle Friend, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bolivar, MO
  • NPI 1831768555
  NPD
• William Everett Hafer, LCSW

  • Clinical Social Worker
  • Bolivar, MO
  • NPI 1194340547
  NPD
• Richard C Adams, PSYD

  • Psychologist
  • Bolivar, MO
  • NPI 1205925427
  NPD (past)
• Debra Ann Anderson, PSY.D.

  • Clinical Psychologist
  • Bolivar, MO
  • NPI 1609825785
  NPD (past)
• Richard A Bertelsen Jr., MD

  • Hospitalist Physician
  • Bolivar, MO
  • NPI 1427153766
  NPD (past)
• Jackie L Dean, PSYD, LP

  • Clinical Psychologist
  • Springfield, MO
  • NPI 1174728109
  NPD (past)
• Julie L Janzen, LCSW

  • Clinical Social Worker
  • Bolivar, MO
  • NPI 1861575474
  NPD (past)
• George W Mathews, DO

  • Family Medicine Physician
  • Humansville, MO
  • NPI 1619980919
  NPD (past)
• Joyce Frances Nichols, FNP

  • Family Nurse Practitioner
  • Clinton, MO
  • NPI 1700840824
  NPD (past)

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753920000000",
    "number": "1417902305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 49",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656130049",
            "telephone_number": "417-326-7272",
            "fax_number": "417-326-2193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E SAN MARTIN ST",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656132893",
            "telephone_number": "417-326-7272",
            "fax_number": "417-326-2193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWOODS PSYCHIATRIC SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A",
        "authorized_official_last_name": "STRANGE",
        "authorized_official_first_name": "DENESE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "417-326-7272"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "066643",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2004008720",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2003024990",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "PY01322",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2004015488",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "R1J41",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "505814400",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "597191808",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pomme de Terre Wellness Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pomme de Terre Wellness Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy Nicholas
• Juan Gustavo Nix, M.D.
• Jenna Rose Noe
• Joshua James Noe, DPT
• Jana Northern, RPH
• Nurses & Company Hospice, LLC (St Croix Hospice)
• Richard Lane Nutt, O.D.
• Leigh A O'Connor, PA-C
• Oakland Emergency Group LLC
• Oasis Counseling and Education, LLC

• Psychiatry Physician in Bolivar, MO
• Providers in Bolivar, MO by specialty
• Psychiatry Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.