NPIMap

Organization Active NPI

Riverview Psychiatric Medicine PC

  • Adult Mental Health Clinic/Center
  • Poughkeepsie, NY
National Provider Identifier
1174789812
Registry record updated Aug 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
166228 Issued in NY
Legal business name
RIVERVIEW PSYCHIATRIC MEDICINE PC
Practice address
370 Violet Ave
Poughkeepsie, NY 12601-1034
Phone
(845) 471-1807
Fax
(845) 471-1815
NPI assigned
Aug 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2008

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

Authorized official

Name
Dr. Randy Ian Pardell, M.D.NPI 1578516969
Title
President/Director
Phone
(845) 471-1807

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
Adult Mental Health Clinic/Center 261QM0850X 166228 NY Primary

Addresses

Primary practice location

370 Violet Ave
Poughkeepsie, NY 12601-1034

Mailing address

370 Violet Ave
Poughkeepsie, NY 12601-1034
Phone (845) 471-1807

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251027004304 NY Part B Supplier - Clinic/Group Practice 6901395342 Receives reassigned benefits from 22 practitioners
Practice locations: Valhalla, NY; Poughkeepsie, NY; New Rochelle, NY; Nanuet, NY; Latham, NY; Hauppauge, NY; Garden City, NY; Middletown, NY

National Provider Directory

National Provider Directory
Tax ID family
Clearwave Psychiatry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3 Lear Jet Ln
Ste 203S
Latham, NY 12110
Phone (845) 471-1807

75 Crystal Run Rd
Ste 103
Middletown, NY 10941
Phone (845) 471-1807

1 Radisson Plz
Ste 1007
New Rochelle, NY 10801
Phone (845) 471-1807

115 E Stevens Ave
Ste 108
Valhalla, NY 10595
Phone (845) 471-1807

Practitioners & affiliated clinicians

Practitioners 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1217548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217548800000",
    "number": "1174789812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 VIOLET AVE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011034",
            "telephone_number": "845-471-1807",
            "fax_number": "845-471-1815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 VIOLET AVE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011034",
            "telephone_number": "845-471-1807",
            "fax_number": "845-471-1815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERVIEW PSYCHIATRIC MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-01",
        "last_updated": "2008-08-01",
        "status": "A",
        "authorized_official_last_name": "PARDELL",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "IAN",
        "authorized_official_title_or_position": "PRESIDENT/DIRECTOR",
        "authorized_official_telephone_number": "845-471-1807",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NY",
            "license": "166228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2008; 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.