Riverside Psychological Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LP1394 Issued in MN

Legal business name

RIVERSIDE PSYCHOLOGICAL SERVICES

Practice address

120 1St St NE
Rochester, MN 55906-3710

Phone

(507) 206-4202

Fax

(507) 206-4225

NPI assigned

Aug 20, 2009

Organization subpart

No

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

Authorized official

Name

Charles Vincent Dawley, MA,LP

Title

Director

Phone

(507) 206-4202

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Charlie Vincent Dawley, LP

  • Psychologist
  • Stewartville, MN
  • NPI 1447406293
  NPD (past)

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250726400000",
    "number": "1184856338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 382",
            "city": "STEWARTVILLE",
            "state": "MN",
            "postal_code": "559760382",
            "telephone_number": "507-206-4202",
            "fax_number": "507-206-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 1ST ST NE",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559063710",
            "telephone_number": "507-206-4202",
            "fax_number": "507-206-4225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-20",
        "last_updated": "2009-08-20",
        "status": "A",
        "authorized_official_last_name": "DAWLEY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "507-206-4202",
        "authorized_official_credential": "MA,LP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "LP1394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Noemi Rivera, MS
• Mariela Rivera, MD
• Michael Rivera, M.D.
• Ricardo A Rivera, APNP
• David George Rivers II, APRN
• Riverstone Assessment and Consulting Services, Inc.
• Riverstone Psychological Services
• Ahmed H Rizvi, MD
• Mahrukh Syeda Rizvi, M.D.
• Syed Ahsan Mujtaba Rizvi, M.D.

• Community/Behavioral Health Agency in Rochester, MN
• Providers in Rochester, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.