Organization Active NPI

Riverstone Psychology, LLC

  • Intellectual & Developmental Disabilities Psychologist
  • Lincoln, NE
National Provider Identifier
1205789237
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X
Legal business name
RIVERSTONE PSYCHOLOGY, LLC
Practice address
4435 O St Ste 211
Lincoln, NE 68510-1864
Phone
(402) 489-2218
Fax
(402) 489-3666
NPI assigned
Feb 18, 2026
Last updated
Jul 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Authorized official

Name
River A Williams, PHD, LP
Title
Licensed Psychologist
Phone
(402) 285-2730

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual & Developmental Disabilities Psychologist 103TM1800X Primary

Addresses

Primary practice location

4435 O St Ste 211
Lincoln, NE 68510-1864

Mailing address

4435 O St Ste 211
Lincoln, NE 68510-1864
Phone (402) 489-2218

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260529004154 NE Part B Supplier - Clinic/Group Practice 1052881075 Receives reassigned benefits from 1 practitioner
Practice locations: Lincoln, NE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1771372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785283200000",
    "number": "1205789237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4435 O ST STE 211",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685101864",
            "telephone_number": "402-489-2218",
            "fax_number": "402-489-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4435 O ST STE 211",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685101864",
            "telephone_number": "402-489-2218",
            "fax_number": "402-489-3666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSTONE PSYCHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-18",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A",
        "authorized_official_last_name": "A WILLIAMS",
        "authorized_official_first_name": "RIVER",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "402-285-2730",
        "authorized_official_credential": "PHD, LP"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; 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.