Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

State of Missouri

Organization Psychiatric Hospital · NPI 1104879444

State of Missouri is a Psychiatric Hospital in Saint Joseph, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006

Practice location Address checks out

3505 Frederick Ave
Saint Joseph, MO 64506-2914
Phone: (816) 387-2300
Fax: (816) 387-2329
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric Hospital (primary) Taxonomy 283Q00000X · Licence EXEMPT (MO)

Record details

NPI number1104879444
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationState of Missouri
Authorized official Molly Boeckmann — Director Of Administrative Services · (573) 751-4055
Other names Northwest Mo Psychiatric Rehabilitation Center; Northwest Mo Psychiatric Rehabilitation Center
NPI enumeratedMay 18, 2006
Last updated in NPPESOctober 27, 2020
Certification dateOctober 27, 2020
Mailing addressPo Box 687, Jefferson City, MO 65102-0687