PINEY RIDGE CENTER – NPI #1174662720
Residential Treatment Facility, Emotionally Disturbed Children

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

PINEY RIDGE CENTER is a residential treatment facility located in WAYNESVILLE, MO. NPPES has assigned the NPI number 1174662720 to PINEY RIDGE CENTER on February 06, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PINEY RIDGE CENTER” is a dba name, the actual legal business name for this organization is WOODRIDGE OF MISSOURI, INC.. This provider is also associated with 2 additional names listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 322D00000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Emotionally Disturbed Children.

The NPI profile was previously updated about 5 years ago on Nov 23, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PINEY RIDGE CENTER below.

NPI Profile for
WOODRIDGE OF MISSOURI, INC.

NPI Number
1174662720
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WOODRIDGE OF MISSOURI, INC.
Doing Business As (dba): PINEY RIDGE CENTER
Other name(s)
All associated names:
Doing Business As (dba)
Perimeter Behavioral of Missouri
Doing Business As (dba)
Piney Ridge Center
Primary location
1000 HOSPITAL ROAD
WAYNESVILLE, MO 65583-4067
Phone: (573) 774-5353 Fax: (573) 774-2907
Mailing address
2520 NORTHWINDS PKWY STE 550
ALPHARETTA, GA 30009-2236
Phone: (470) 554-7903 Fax:
Organization Subpart
No
Authorized Official
ROCHELLE GERBER
AVP OF ADMINISTRATIVE SERVICES
Phone: (470) 554-7903
Updated
Certification Date
Nov 23, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
322D00000X
- Residential Treatment Facility, Emotionally Disturbed Children (Primary)
MO 000380592
324500000X
- Substance Abuse Rehabilitation Facility
MO 30888669
323P00000X
- Psychiatric Residential Treatment Facility
MO 000380592

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.