Riley Psychiatric Services Inc

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

RN163734 Issued in GA

Legal business name

RILEY PSYCHIATRIC SERVICES INC

Practice address

2205 Pinopolis Rd
Pinopolis, SC 29469-5067

Phone

(843) 499-2327

NPI assigned

Nov 27, 2006

Last updated

Oct 7, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cynthia RileyNPI 1730293747

Title

Owner

Phone

(770) 722-2170

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 2

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.

• Cynthia Wagers Riley, APRN-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Charleston, SC
  • NPI 1730293747
  Medicare reassignment Authorized official
• Ellen Mary Benson, MSN, APRN, BC

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Marietta, GA
  • NPI 1417119199
  NPD (past)

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1073689576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 PINOPOLIS RD",
            "city": "PINOPOLIS",
            "state": "SC",
            "postal_code": "294695067",
            "telephone_number": "843-499-2327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 PINOPOLIS RD",
            "city": "PINOPOLIS",
            "state": "SC",
            "postal_code": "294695067",
            "telephone_number": "843-499-2327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2777 Speissegger Dr",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294058229",
            "country_code": "US",
            "telephone_number": "843-747-5830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RILEY PSYCHIATRIC SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-722-2170"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN163734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph L Marcille, APRN
• Byron Rodgers IV, RN

• Psychiatric/Mental Health Registered Nurse in Pinopolis, SC
• Providers in Pinopolis, SC by specialty
• Psychiatric/Mental Health Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.