Riverside Health System

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

RIVERSIDE HEALTH SYSTEM

Doing business as

Psychiatric Associates

Practice address

500 N Wall St
Suite 200
Kankakee, IL 60901-2942

Phone

(815) 937-1237

Fax

(815) 933-0662

NPI assigned

May 11, 2007

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Phillip Kambic

Title

Ceo

Phone

(815) 933-1671

Specialties & licenses 1

Addresses

Other names 1

• PSYCHIATRIC ASSOCIATES Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Riverside Health System

  • General Practice Physician
  • Kankakee, IL
  • NPI 1417061193

  O20040116000780

  Same enrollment

Locations

Practitioners 392

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.

• Raju Zachariah Abraham, MD

  • Pulmonary Disease Physician
  • Kankakee, IL
  • NPI 1003830852
  NPD
• Tarek Mohamad Ahdab, MD, FACC

  • Interventional Cardiology Physician
  • Palos Heights, IL
  • NPI 1184849747
  NPD
• Mohammed Mohsin Ahmed, M.D.

  • Orthopaedic Surgery Physician
  • Lombard, IL
  • NPI 1053623868
  NPD
• Saud Suhael Ahmed, M.D.

  • Diagnostic Radiology Physician
  • Evergreen Park, IL
  • NPI 1255592655
  NPD
• Talal Akhter, M.D.

  • Vascular & Interventional Radiology Physician
  • Chicago, IL
  • NPI 1356760995

  Single Specialty

  NPD
• Yetunde M Akinde, MD

  • Obstetrics & Gynecology Physician
  • Bourbonnais, IL
  • NPI 1033616198
  NPD
• Olatunji R Akintilo, M.D.

  • Family Medicine Physician
  • Kankakee, IL
  • NPI 1760485007
  NPD
• Bushra A Alam, DO

  • Internal Medicine Physician
  • Frankfort, IL
  • NPI 1083134118
  NPD
• Manal Alharsha

  • Family Nurse Practitioner
  • Kankakee, IL
  • NPI 1346103587
  NPD
• Lena Khaled Alia, MD

  • Obstetrics & Gynecology Physician
  • Olympia Fields, IL
  • NPI 1578926143
  NPD
• Reid Thomas Alley, MD

  • Psychiatry Physician
  • Kankakee, IL
  • NPI 1568956043
  NPD
• Roselle Xavierina Almeida, MD

  • Pulmonary Disease Physician
  • Kankakee, IL
  • NPI 1720243645
  NPD

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1336354430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N WALL ST",
            "address_2": "SUITE 200",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609012942",
            "telephone_number": "815-937-1237",
            "fax_number": "815-933-0662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N WALL ST",
            "address_2": "SUITE 200",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609012942",
            "telephone_number": "815-937-1237",
            "fax_number": "815-933-0662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2022-07-21",
        "certification_date": "2019-12-17",
        "status": "A",
        "authorized_official_last_name": "KAMBIC",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "815-933-1671"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PSYCHIATRIC ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PSYCHIATRIC ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nathan David Rieder, MOT OTR/L
• Rincon Family Services
• River Valley Supportive Living LLC
• River Valley Supportive Living Residence LLC
• Riverside Emergency Physicians, LLC
• Riverside Health System
• Riverside Medical Center
• Riverside Medical Center (New Life Education Center)
• Riverside Medical Center
• Riverside Medical Center

• Psychiatry Physician in Kankakee, IL
• Providers in Kankakee, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.