NPIMap

Organization Active NPI

Four Oaks Family and Children's Services

  • Psychiatric Residential Treatment Facility
  • Cedar Rapids, IA
National Provider Identifier
1710046255
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
FOUR OAKS FAMILY AND CHILDREN'S SERVICES
Practice address
5400 Kirkwood Blvd SW
Cedar Rapids, IA 52404-5216
Phone
(319) 364-0259
Fax
(866) 290-5565
NPI assigned
Dec 8, 2006
Last updated
Jan 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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

Authorized official

Name
Mary Beth O'Neill
Title
President/Ceo
Phone
(319) 364-0259

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X
Psychiatric Residential Treatment Facility 323P00000X Primary

Addresses

Primary practice location

5400 Kirkwood Blvd SW
Cedar Rapids, IA 52404-5216

Mailing address

5400 Kirkwood Blvd SW
South Village
Cedar Rapids, IA 52404-5216
Phone (319) 364-0259

Other names 1

  • Four Oaks Inc Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1710046255. Details of each certification follow.

  • CCN 16L007 Psychiatric residential treatment facility · Active · Name & address match · Details
  • CCN 16L008 Psychiatric residential treatment facility · Active · Name & address match · Details

Psychiatric residential treatment facility certification: CCN 16L007

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
FOUR OAKS MCINTYRE CENTER-PMIC
Certification status
Active
Provider type (POS)
Psychiatric residential treatment facility
Participating since
Sep 24, 2001
Last certification
Sep 14, 2022
Beds
16
Ownership / control type
For profit – individual
Facility address
5400 Kirkwood Boulevard SW
Cedar Rapids, IA 52404

Psychiatric residential treatment facility certification: CCN 16L008

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
FOUR OAKS SMITH CENTER-PMIC
Certification status
Active
Provider type (POS)
Psychiatric residential treatment facility
Participating since
Sep 24, 2001
Last certification
Sep 14, 2022
Beds
20
Ownership / control type
For profit – individual
Facility address
5400 Kirkwood Boulevard SW
Cedar Rapids, IA 52404

National Provider Directory

National Provider Directory
Tax ID family
Four Oaks Family and Children's Services6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

5400 Kirkwood Blvd SW
#Four
Cedar Rapids, IA 52404
Phone (319) 364-0259

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768521600000",
    "number": "1710046255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 KIRKWOOD BLVD SW",
            "address_2": "SOUTH VILLAGE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524045216",
            "telephone_number": "319-364-0259",
            "fax_number": "866-290-5565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 KIRKWOOD BLVD SW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524045216",
            "telephone_number": "319-364-0259",
            "fax_number": "866-290-5565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR OAKS FAMILY AND CHILDREN'S SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A",
        "authorized_official_last_name": "O'NEILL",
        "authorized_official_first_name": "MARY BETH",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "319-364-0259"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Four Oaks Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.