River Rock Treatment

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

RIVER ROCK TREATMENT

Practice address

125 College Street 5TH Floor
Burlington, VT 05401-8444

Phone

(888) 308-2624

NPI assigned

Nov 19, 2020

Organization subpart

No

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

Authorized official

Name

Jae Bowman

Title

Founder/Director

Phone

(508) 446-5829

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605744000000",
    "number": "1073116208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 COLLEGE STREET 5TH FLOOR",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054018444",
            "telephone_number": "888-308-2624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 COLLEGE STREET 5TH FLOOR",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054018444",
            "telephone_number": "888-308-2624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER ROCK TREATMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-19",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "JAE",
        "authorized_official_title_or_position": "FOUNDER/DIRECTOR",
        "authorized_official_telephone_number": "508-446-5829"
    },
    "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": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elly Riser, MD, MPH
• Valerie J. Riss, M.D.
• Ian Risser, MD
• David R Ritter, ED.D.
• Mary Lee B. Ritter, PNP
• Beth Rizzon, LICSW
• Giannina Robalino, M.D.
• Brianna Robare, PHARMD
• Laurel Robbins, LICSW
• Corinne Elise Roberts, MD

• Substance Abuse Rehabilitation Facility in Burlington, VT
• Providers in Burlington, VT by specialty
• Substance Abuse Rehabilitation Facility in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.