River Bay Behavioral Health

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

20221 Issued in MD

Legal business name

RIVER BAY BEHAVIORAL HEALTH

Practice address

101 Log Canoe Cir Ste F
Stevensville, MD 21666-2106

Phone

(443) 775-0126

NPI assigned

Mar 16, 2018

Last updated

Mar 16, 2018By 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

Randall Bruce Minteer, LCSW-CNPI 1962809889

Title

Owner

Phone

(443) 775-0126

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, and the practitioner matching its NPPES authorized official.

• Randall Bruce Minteer, LCSW-C

  • Clinical Social Worker
  • Stevensville, MD
  • NPI 1962809889
  NPD Authorized official

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

{
    "created_epoch": "1521158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521158400000",
    "number": "1114420957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 LOG CANOE CIR STE F",
            "city": "STEVENSVILLE",
            "state": "MD",
            "postal_code": "216662106",
            "telephone_number": "443-775-0126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 LOG CANOE CIR STE F",
            "city": "STEVENSVILLE",
            "state": "MD",
            "postal_code": "216662106",
            "telephone_number": "443-775-0126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER BAY BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-16",
        "last_updated": "2018-03-16",
        "status": "A",
        "authorized_official_last_name": "MINTEER",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-775-0126",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "20221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theodore Ramirez
• Heather Read, D.P.T.
• Richard William Reitz, R.PH.
• Janki Richard
• Lane Brooks Ricketts, OTR
• Robert Laraway DDS (Kent Island Orthodontics)
• Julie Rock
• Samantha Roscioli, DPT
• Savannah Rourk, LGPC
• Tesa Marie Ryan

• Clinical Social Worker in Stevensville, MD
• Providers in Stevensville, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2018; 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.