Riverbend Behavioral Health, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

RIVERBEND BEHAVIORAL HEALTH, LLC

Practice address

701 N Niles Ave
South Bend, IN 46617-1923

Phone

(574) 318-5684

NPI assigned

Jun 14, 2017

Organization subpart

No

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

Authorized official

Name

Leanne Sargent-Suarez

Title

Owner

Phone

(574) 318-5684

Specialties & licenses 3

Addresses

Tax ID family

Riverbend Behavioral Health LLC2 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.

• Riverbend Behavioral Health, LLC

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • South Bend, IN
  • NPI 1366965485
  NPD tax ID

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497398400000",
    "number": "1215467006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 N NILES AVE",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466171923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N NILES AVE",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466171923",
            "telephone_number": "574-318-5684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERBEND BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-14",
        "last_updated": "2017-06-14",
        "status": "A",
        "authorized_official_last_name": "SARGENT-SUAREZ",
        "authorized_official_first_name": "LEANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-318-5684"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bailey Ritsema, BS
• Jared Ritter
• Phoebe Lynn Ritter, FNP-C
• Cassidy Marie Rivas Rodriguez, CF-SLP
• River Valley Wellness Center
• Riverbend Behavioral Health, LLC
• Riverside Hospital Corporation
• Brandi Rizer, RBT
• Syed Mohsan Rizvi, MD
• Nicholas Rizzo, M.D.

• Multi-Specialty Clinic/Center in South Bend, IN
• Providers in South Bend, IN by specialty
• Multi-Specialty Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2017; 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.