Active NPI
Riverwood Therapy LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Marquette, MI
National Provider Identifier
1124723150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- RIVERWOOD THERAPY LLC
- Practice address
- 220 W Washington St
Marquette, MI 49855-4359 - Phone
- (906) 250-2207
- NPI assigned
- Mar 31, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sean Fitzpatrick, MA LPC
- Title
- Owner
- Phone
- (906) 250-2077
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
220 W Washington St
Marquette, MI 49855-4359
Mailing address
603 N 4TH St Apt 2
Marquette, MI 49855-3404
Phone (906) 250-2207
Other names 1
- Riverwood Therapy
National Provider Directory
National Provider DirectoryLocations
220 W Washington St
Marquette, MI 49855
Phone (906) 205-2626
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Marquette, MI
- NPI 1730460072
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680220800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1680652800000",
"number": "1124723150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "603 N 4TH ST APT 2",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498553404",
"telephone_number": "906-250-2207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 W WASHINGTON ST",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498554359",
"telephone_number": "906-250-2207"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVERWOOD THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-31",
"last_updated": "2023-04-05",
"certification_date": "2023-04-05",
"status": "A",
"authorized_official_last_name": "FITZPATRICK",
"authorized_official_first_name": "SEAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "906-250-2077",
"authorized_official_credential": "MA LPC"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Riverwood Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Marquette, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.