Organization Active NPI

Lakewood Residential Services, Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Springfield, MO
National Provider Identifier
1457484347
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
LAKEWOOD RESIDENTIAL SERVICES, INC
Practice address
1565 E Briar St
Springfield, MO 65804-7102
Phone
(417) 882-3889
Fax
(417) 882-3813
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Melissa Richter, PSY.D.LPC
Title
Owner
Phone
(417) 459-5622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X MO Primary

Addresses

Primary practice location

1565 E Briar St
Springfield, MO 65804-7102

Mailing address

1565 E Briar St
Springfield, MO 65804-7102
Phone (417) 882-3889

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457484347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1565 E BRIAR ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658047102",
            "telephone_number": "417-882-3889",
            "fax_number": "417-882-3813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 E BRIAR ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658047102",
            "telephone_number": "417-882-3889",
            "fax_number": "417-882-3813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD RESIDENTIAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RICHTER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-459-5622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D.LPC"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.