NPIMap

Organization Active NPI

Green River Regional Mental Health/Mental Retardation Board, Inc.

Doing business as RiverValley Behavioral Health

  • Psychiatric Residential Treatment Facility
  • Owensboro, KY
National Provider Identifier
1356383111
Registry record updated Jun 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
950005 Issued in KY
Legal business name
GREEN RIVER REGIONAL MENTAL HEALTH/MENTAL RETARDATION BOARD, INC.
Doing business as
RiverValley Behavioral Health
Practice address
1224 Venable Ave
Owensboro, KY 42301-2756
Phone
(270) 685-2203
NPI assigned
Jun 13, 2006
Last updated
Jun 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2012

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

Authorized official

Name
J. Michael Mountain
Title
Cfo
Phone
(270) 689-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X 950005 KY Primary

Addresses

Primary practice location

1224 Venable Ave
Owensboro, KY 42301-2756

Mailing address

PO Box 1637
Owensboro, KY 42302-1637
Phone (270) 685-2203

Other names 1

  • RiverValley Behavioral Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Rivervalley Behavioral16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Practitioners & affiliated clinicians

Practitioners 17

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 17

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339372800000",
    "number": "1356383111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1637",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423021637",
            "telephone_number": "270-685-2203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 VENABLE AVE",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423012756",
            "telephone_number": "270-685-2203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN RIVER REGIONAL MENTAL HEALTH/MENTAL RETARDATION BOARD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2012-06-11",
        "status": "A",
        "authorized_official_last_name": "MOUNTAIN",
        "authorized_official_first_name": "J.",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "270-689-6500"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "KY",
            "license": "950005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RiverValley Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Owensboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; 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.