Organization Active NPI

River City Psychiatric Services, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Winona, MN
National Provider Identifier
1053082446
Registry record updated Jan 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
RIVER CITY PSYCHIATRIC SERVICES, LLC
Practice address
902 E 2ND St Ste 113
Winona, MN 55987-6355
Phone
(507) 208-7629
Fax
(507) 607-8671
NPI assigned
Sep 24, 2021
Last updated
Jan 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2025

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

Authorized official

Name
Sheila M Dunn, CNP, PMHNP-BCNPI 1629601059
Title
Owner
Phone
(507) 208-7629

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

902 E 2ND St Ste 113
Winona, MN 55987-6355

Mailing address

902 E 2ND St Ste 113
Winona, MN 55987-6355
Phone (507) 208-7629

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address sheila.dunn@rivercitypsychservices.com Direct
Other URL https://www.doximity.com/about/company Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220125003181 MN Part B Supplier - Clinic/Group Practice 9931591948 Receives reassigned benefits from 3 practitioners
Practice locations: Winona, MN

National Provider Directory

National Provider Directory

Locations

902 E 2nd St
Ste 109
Winona, MN 55987
Phone (507) 208-7629

902 E 2nd St
Ste 113
Winona, MN 55987
Phone (507) 208-7629

902 E 2nd St
Ste 337
Winona, MN 55987

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1632441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737158400000",
    "number": "1053082446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 E 2ND ST STE 113",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559876355",
            "telephone_number": "507-208-7629",
            "fax_number": "507-607-8671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 E 2ND ST STE 113",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559876355",
            "telephone_number": "507-208-7629",
            "fax_number": "507-607-8671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER CITY PSYCHIATRIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-24",
        "last_updated": "2025-01-18",
        "certification_date": "2025-01-18",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-208-7629",
        "authorized_official_credential": "CNP, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sheila.dunn@rivercitypsychservices.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "762 E 2nd St",
            "city": "Winona",
            "state": "MN",
            "country_code": "US",
            "postal_code": "559874415",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.doximity.com/about/company",
            "affiliation": "N",
            "endpointDescription": "507-607-8671",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "762 E 2nd St",
            "city": "Winona",
            "state": "MN",
            "country_code": "US",
            "postal_code": "559874415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winona, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.