NPIMap

Organization Active NPI

Northwood Children's Services, Inc.

  • Psychiatric Residential Treatment Facility
  • Duluth, MN
National Provider Identifier
1851457758
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
NORTHWOOD CHILDREN'S SERVICES, INC.
Practice address
4000 W 9TH St
Duluth, MN 55807
Phone
(218) 628-0237
Fax
(218) 628-1347
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
Dir. of Q.a.
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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 801777 MN
Psychiatric Residential Treatment Facility 323P00000X MN Primary
Counselor 101Y00000X NU
Psychologist 103T00000X NU
Social Worker 104100000X NU

Addresses

Primary practice location

4000 W 9TH St
Duluth, MN 55807

Mailing address

4000 W 9TH St
Duluth, MN 55807-1563
Phone (218) 628-0237

Other identifiers 2

IdentifierTypeStateIssuer
5A35NOOtherMNBCBS
8457171OtherMNMEDICA

Other names 1

  • Northwood West Other name

Medicare participation

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851457758. Details of each certification follow.

  • CCN 24L001 Psychiatric residential treatment facility · Active · Name & address match · Details

Psychiatric residential treatment facility certification: CCN 24L001

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
NORTHWOOD CHILDRENS SERVICES INC
Certification status
Active
Provider type (POS)
Psychiatric residential treatment facility
Participating since
Dec 21, 2018
Last certification
Nov 19, 2020
Beds
48
Ownership / control type
Non-profit – other
Facility address
4000 West 9TH Street
Duluth, MN 55807

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

1027 N 8th Ave E
Duluth, MN 55805
Phone (218) 336-8860

2827 Chambersburg Ave
Duluth, MN 55811
Phone (218) 340-9766

4849 Ivanhoe St
Duluth, MN 55804
Phone (218) 336-8955

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": "1851457758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 W 9TH ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558071563",
            "telephone_number": "218-628-0237",
            "fax_number": "218-628-1347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 W 9TH ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "55807",
            "telephone_number": "218-628-0237",
            "fax_number": "218-628-1347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWOOD CHILDREN'S SERVICES, 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": "DIR. OF Q.A.",
        "authorized_official_telephone_number": "218-625-2638",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "MN",
            "license": "801777",
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "MN",
            "license": null,
            "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": "BCBS",
            "identifier": "5A35NO",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "8457171",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwood West",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Northwood West",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Duluth, MN

Sources for this page

Verify at the official NPI Registry.