NPIMap

Organization Active NPI

River City Psychiatry, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Belpre, OH
National Provider Identifier
1134906605
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
RIVER CITY PSYCHIATRY, LLC
Practice address
1085 Joe Skinner Rd
Belpre, OH 45714-9488
Phone
(740) 538-5405
Fax
(740) 212-8308
NPI assigned
Sep 11, 2023
Last updated
Jun 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Authorized official

Name
Mrs. Carla Y Pottmeyer, APRN-CNP, PMHNP-BCNPI 1790355154
Title
Member
Phone
(740) 525-4801

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)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

1085 Joe Skinner Rd
Belpre, OH 45714-9488

Mailing address

1085 Joe Skinner Rd
Belpre, OH 45714-9488
Phone (740) 538-5405

Other practice location 1

200 Putnam St Ste 500
Marietta, OH 45750-3000
Phone (740) 538-5405

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231118000623 OH Part B Supplier - Clinic/Group Practice 6709234438 Receives reassigned benefits from 7 practitioners
Practice locations: Belpre, OH

National Provider Directory

National Provider Directory

Locations

1085 Joe Skinner Rd
Belpre, OH 45714
Phone (740) 371-4676

200 Putnam St
Ste 500
Marietta, OH 45750
Phone (740) 538-5405

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718668800000",
    "number": "1134906605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1085 JOE SKINNER RD",
            "city": "BELPRE",
            "state": "OH",
            "postal_code": "457149488",
            "telephone_number": "740-538-5405",
            "fax_number": "740-212-8308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1085 JOE SKINNER RD",
            "city": "BELPRE",
            "state": "OH",
            "postal_code": "457149488",
            "telephone_number": "740-538-5405",
            "fax_number": "740-212-8308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Putnam St Ste 500",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "OH",
            "postal_code": "457503000",
            "country_code": "US",
            "telephone_number": "740-538-5405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RIVER CITY PSYCHIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-11",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A",
        "authorized_official_last_name": "POTTMEYER",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "740-525-4801",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN-CNP, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belpre, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.