Organization Active NPI

Ridgeview Psychiatric Hospital and Center, Inc.

  • Psychiatric Hospital
  • Oak Ridge, TN
National Provider Identifier
1184659229
Registry record updated Jul 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
RIDGEVIEW PSYCHIATRIC HOSPITAL AND CENTER, INC.
Practice address
240 W Tyrone Rd
Oak Ridge, TN 37830-6517
Phone
(865) 482-1076
Fax
(865) 481-6179
NPI assigned
Jul 11, 2006
Last updated
Jul 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2016

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

Authorized official

Name
Ms. Mary Claire Duff
Title
Cfo
Phone
(865) 482-1076

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X TN Primary

Addresses

Primary practice location

240 W Tyrone Rd
Oak Ridge, TN 37830-6517

Mailing address

240 W Tyrone Rd
Oak Ridge, TN 37830-6517
Phone (865) 482-1076

Other identifiers 1

IdentifierTypeStateIssuer
3273931OtherTNMEDICARE PART B

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040611001335 TN Part B Supplier - Clinic/Group Practice 4981691490 Receives reassigned benefits from 32 practitioners
Practice locations: Harriman, TN; Lafollette, TN; Oak Ridge, TN; Oneida, TN; Wartburg, TN
O20120601000133 TN Part A Provider - Hospital 4981691490 Practice locations: Harriman, TN; Wartburg, TN; Oneida, TN; Oak Ridge, TN; La Follette, TN; Jamestown, TN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1184659229. Details of each certification follow.

Hospital certification: CCN 444003

Legal name
RIDGEVIEW PSYCHIATRIC HOSPITAL AND CENTER, INC.
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Nov 24, 1969
Last certification
Jun 9, 2021
Beds
16
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Mar 23, 1961 in TN
Enrollment address
240 W Tyrone Rd
Oak Ridge, TN 37830-6517
Main/Primary Hospital Location
Hospital subgroups
Psychiatric

Care Compare: Hospital

Medicare Care Compare
Listed as
Ridgeview Psychiatric Hospital and CenterCCN 444003 · All quality measures
Type
Psychiatric
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D0979572Ridgeview Psychiatric Hospital & Center Inc240 West Tyrone Road, Oak Ridge, TN 37830Certificate of waiverOct 24, 2026

National Provider Directory

National Provider Directory

Locations

221 Devonia St
Harriman, TN 37748
Phone (865) 882-0410

307 Devonia St
Harriman, TN 37748
Phone (865) 882-1164

101 S Duncan St
#A
Jamestown, TN 38556

108 S 5th St
La Follette, TN 37766
Phone (423) 562-7426

240 W Tyrone Rd
Oak Ridge, TN 37830
Phone (865) 482-1076

830 Main St
#2
Wartburg, TN 37887
Phone (423) 346-6221

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Yolanda Monfort Individual Corporate DirectorCfo Jan 1, 2020
W-2 Managing Employee Jan 1, 2020
Brian Buuck Individual Corporate Director Aug 6, 2012
W-2 Managing Employee Aug 6, 2012

Practitioners & affiliated clinicians

Practitioners 60

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.

View all 60

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469750400000",
    "number": "1184659229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 W TYRONE RD",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378306517",
            "telephone_number": "865-482-1076",
            "fax_number": "865-481-6179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 W TYRONE RD",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378306517",
            "telephone_number": "865-482-1076",
            "fax_number": "865-481-6179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGEVIEW PSYCHIATRIC HOSPITAL AND CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2016-07-29",
        "status": "A",
        "authorized_official_last_name": "DUFF",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "CLAIRE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "865-482-1076",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "3273931",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Ridge, TN

Sources for this page

Verify at the official NPI Registry.