Riverside Psychiatric Services PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

RIVERSIDE PSYCHIATRIC SERVICES PLLC

Practice address

2180 44TH St SE Ste 107
Grand Rapids, MI 49508-5305

Phone

(616) 425-9666

NPI assigned

Jun 24, 2024

Last updated

May 14, 2025By 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

Godfrey Abuya, PMHNPNPI 1184352478

Title

Manager

Phone

(616) 334-0011

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.

• Godfrey Abuya

  • Psychiatric/Mental Health Nurse Practitioner
  • Kentwood, MI
  • NPI 1184352478
  NPD Authorized official

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747180800000",
    "number": "1114761186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5082 BREEZEFIELD DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495129520",
            "telephone_number": "616-334-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 44TH ST SE STE 107",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495085305",
            "telephone_number": "616-425-9666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE PSYCHIATRIC SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-24",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A",
        "authorized_official_last_name": "ABUYA",
        "authorized_official_first_name": "GODFREY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "616-334-0011",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Rivera
• Olivia Lee Rivera, PA-C
• Ronald Christian Rivera, LMSW
• Samantha Jean Rivera, M.S. CCC-SLP
• John Rivero
• Riverwood Family Medicine PC
• Stacey Lynn Rivet, FNP
• Bridget Ann Rizik
• Christopher Rizik
• John Paul Rizik, DO

• Psychiatric/Mental Health Nurse Practitioner in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Psychiatric/Mental Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; 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.