Woodlands Behavioral Center LLC

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

License

559 Issued in LA

Legal business name

WOODLANDS BEHAVIORAL CENTER LLC

Practice address

1400 W Court St
Winnfield, LA 71483-2650

Phone

(318) 628-5445

Fax

(318) 628-5515

NPI assigned

Jun 10, 2006

Organization subpart

No

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

Authorized official

Name

Stuart Archer

Title

Ceo

Phone

(972) 464-0022

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Hospital certification: CCN 194076

Legal name

OCEANS BEHAVIORAL HOSPITAL OF WINNFIELD

Certification status

Terminated Voluntary: merger or closure, Jun 2, 2014

Provider type (POS)

Hospital – Psychiatric

Participating since

Jun 13, 2005

Last certification

Jun 10, 2010

Beds

19

Ownership / control type

Private (for profit)

Facility address

1400 West Court Street
Winnfield, LA 71483

Locations

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424217600000",
    "number": "1528009248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5850 GRANITE PKWY",
            "address_2": "SUITE 300",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750246748",
            "telephone_number": "972-464-0022",
            "fax_number": "972-464-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 W COURT ST",
            "city": "WINNFIELD",
            "state": "LA",
            "postal_code": "714832650",
            "telephone_number": "318-628-5445",
            "fax_number": "318-628-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLANDS BEHAVIORAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2015-02-18",
        "status": "A",
        "authorized_official_last_name": "ARCHER",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "972-464-0022"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "LA",
            "license": "559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1709557",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Winnfield Family Practice, L.L.C
• Winnfield Nursing and Rehabilitation Center, LLC
• Winnfield Physical Therapy LLC (Winnfield Physical Therapy)
• Toby Wise, FNP-C
• Emmanuel Witherspoon, MD
• Jeffery Dale Wyatt, CRNA

• Psychiatric Hospital in Winnfield, LA
• Providers in Winnfield, LA by specialty
• Psychiatric Hospital in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.