Upon the Rock, Inc.

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Legal business name

UPON THE ROCK, INC.

Practice address

520 S Albany Ave
Bolivar, MO 65613-2116

Phone

(417) 501-7905

NPI assigned

Oct 12, 2024

Last updated

Nov 19, 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

Rashaad Brown-Peterson

Title

Executive/Program Director

Phone

(417) 501-7905

Specialties & licenses 1

Addresses

Other names 1

• Upon the Rock, Inc. Former legal business name

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

{
    "created_epoch": "1728691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763510400000",
    "number": "1730909037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 S ALBANY AVE",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656132116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S ALBANY AVE",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656132116",
            "telephone_number": "417-501-7905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPON THE ROCK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-12",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A",
        "authorized_official_last_name": "BROWN-PETERSON",
        "authorized_official_first_name": "RASHAAD",
        "authorized_official_title_or_position": "EXECUTIVE/PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "417-501-7905"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Upon the Rock, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Upon the Rock, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Emotionally Disturbed Childrens' Residential Treatment Facility in Bolivar, MO
• Providers in Bolivar, MO by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; 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.