NPIMap

Organization Active NPI

Northwood Children's Home Society Inc

  • Mental Illness Community Based Residential Treatment Facility
  • Duluth, MN
National Provider Identifier
1588720494
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
801775 Issued in MN
Legal business name
NORTHWOOD CHILDREN'S HOME SOCIETY INC
Practice address
714 W College St
Duluth, MN 55811-4906
Phone
(218) 724-8815
Fax
(218) 724-0251
NPI assigned
Dec 28, 2006
Last updated
May 12, 2021By the provider in NPPES
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, LICSWNPI 1003173907
Title
Director of Quality Assurance
Phone
(218) 625-2638

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 801775 MN Primary
Counselor 101Y00000X NU
Psychologist 103T00000X NU
Social Worker 104100000X NU

Addresses

Primary practice location

714 W College St
Duluth, MN 55811-4906

Mailing address

714 W College St
Duluth, MN 55811-4906
Phone (218) 724-8815

Other identifiers 2

IdentifierTypeStateIssuer
8457171OtherMNMEDICA
8415NOOtherMNBCBS

National Provider Directory

National Provider Directory
Tax ID family
Northwood Children's Services9 organizations share this tax ID, including this one
Part of
Northwood Children's Services

Other organizations with this tax ID 8

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

Locations

3215 W 3rd St
Duluth, MN 55806

720 N Central Ave
Duluth, MN 55807
Phone (218) 336-8900

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

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": "1588720494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 W COLLEGE ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558114906",
            "telephone_number": "218-724-8815",
            "fax_number": "218-724-0251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 W COLLEGE ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558114906",
            "telephone_number": "218-724-8815",
            "fax_number": "218-724-0251"
        }
    ],
    "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": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "MN",
            "license": "801775",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "8457171",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8415NO",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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.