Rivergreen Psychology Psychotherapy PC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Legal business name

RIVERGREEN PSYCHOLOGY PSYCHOTHERAPY PC

Practice address

75 Maiden LN Ste 323
New York, NY 10038-4810

Phone

(212) 379-6447

NPI assigned

Jan 24, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Clark Matthew Nichols, PHDNPI 1598976912

Title

President

Phone

(212) 379-6447

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Clark Matthew Nichols, PH.D.

  • Counseling Psychologist
  • New York, NY
  • NPI 1598976912
  NPD Authorized official

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

{
    "created_epoch": "1674518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674518400000",
    "number": "1013623925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 N FRONT ST",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124013814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 MAIDEN LN STE 323",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100384810",
            "telephone_number": "212-379-6447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERGREEN PSYCHOLOGY PSYCHOTHERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-24",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "CLARK",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-379-6447",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Emerald Rivera, OTR/L
• Tiffany Marie Rivera
• Veronica Rivera, M.D.
• Victoria Rivera
• Riverbank Psychotherapy
• Lissette Irmary Rivero, DNP, CRNA
• Alicia Marie Rivers, CASAC-T
• David Matthew Rivers, CRPA-6816
• Ephraim Hoffa Rivers, CASAC-T
• Kathelene Rivers

• Counseling Psychologist in New York, NY
• Providers in New York, NY by specialty
• Counseling Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.