Active NPI
Maplewood Inc
- Mental Illness Community Based Residential Treatment Facility
- Jefferson City, MO
National Provider Identifier
1992919740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Legal business name
- MAPLEWOOD INC
- Practice address
- 1827 Crader Dr
Jefferson City, MO 65109 - Phone
- (573) 635-0023
- Fax
- (573) 635-0023
- NPI assigned
- May 10, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jessica Shay Ochoa
- Title
- President
- Phone
- (573) 462-0128
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Primary |
Addresses
Primary practice location
1827 Crader Dr
Jefferson City, MO 65109
Mailing address
1827 Crader Dr
Jefferson City, MO 65109
Phone (573) 462-0128
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D0898652 | Maplewood, Inc | Certificate of waiver | Mar 7, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1672876800000",
"number": "1992919740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1827 CRADER DR",
"city": "JEFFERSON CITY",
"state": "MO",
"postal_code": "65109",
"telephone_number": "573-462-0128",
"fax_number": "573-635-0023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1827 CRADER DR",
"city": "JEFFERSON CITY",
"state": "MO",
"postal_code": "65109",
"telephone_number": "573-635-0023",
"fax_number": "573-635-0023"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAPLEWOOD INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-10",
"last_updated": "2023-01-05",
"certification_date": "2023-01-05",
"status": "A",
"authorized_official_last_name": "OCHOA",
"authorized_official_first_name": "JESSICA",
"authorized_official_middle_name": "SHAY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "573-462-0128"
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jefferson City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.