River Rock Psychiatry, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

RIVER ROCK PSYCHIATRY, LLC

Practice address

545 Main St
Middlefield, CT 06455-1293

Phone

(860) 918-4182

NPI assigned

May 2, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Susan McNamara, M.D.NPI 1063432466

Title

Member

Phone

(860) 918-4182

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan McNamara, M.D.

  • Psychiatry Physician
  • Middlefield, CT
  • NPI 1063432466
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1430524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648771200000",
    "number": "1124405709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 MAIN ST",
            "city": "MIDDLEFIELD",
            "state": "CT",
            "postal_code": "064551293",
            "telephone_number": "860-918-4182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 MAIN ST",
            "city": "MIDDLEFIELD",
            "state": "CT",
            "postal_code": "064551293",
            "telephone_number": "860-918-4182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER ROCK PSYCHIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-02",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A",
        "authorized_official_last_name": "MCNAMARA",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "860-918-4182",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Mental Health Clinic/Center in Middlefield, CT
• Providers in Middlefield, CT by specialty
• Adult Mental Health Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; 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.