Organization Active NPI

River Valley Mental Health Care PLLC

  • Adult Mental Health Clinic/Center
  • Newburyport, MA
National Provider Identifier
1366193146
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
RIVER VALLEY MENTAL HEALTH CARE PLLC
Practice address
10 Prince PL Ste 204a
Newburyport, MA 01950-2657
Phone
(978) 308-2372
NPI assigned
Jan 13, 2022
Last updated
Jul 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Authorized official

Name
Ms. Susan E Martinson, PMHNP-BCNPI 1306941893
Title
Owner
Phone
(978) 308-2372

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU Primary

Addresses

Primary practice location

10 Prince PL Ste 204a
Newburyport, MA 01950-2657

Mailing address

151 Merrimac St
Newburyport, MA 01950-2325
Phone (781) 888-2463

Other names 1

  • River Valley Mental Health Care PLLC Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.rivervalleymhc.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230110002579 MA Part B Supplier - Clinic/Group Practice 8022488980 Receives reassigned benefits from 1 practitioner
Practice locations: Newburyport, MA

National Provider Directory

National Provider Directory

Locations

10 Prince Pl
Ste 204A
Newburyport, MA 01950
Phone (978) 225-3354

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": "1642032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657497600000",
    "number": "1366193146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 MERRIMAC ST",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019502325",
            "telephone_number": "781-888-2463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PRINCE PL STE 204A",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019502657",
            "telephone_number": "978-308-2372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER VALLEY MENTAL HEALTH CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-13",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A",
        "authorized_official_last_name": "MARTINSON",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-308-2372",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.rivervalleymhc.org",
            "affiliation": "N",
            "endpointDescription": "access link to EMR",
            "address_1": "10 Prince Pl Ste 204A",
            "city": "Newburyport",
            "state": "MA",
            "country_code": "US",
            "postal_code": "019502657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "River Valley Mental Health Care PLLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "River Valley Mental Health Care PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Newburyport, MA

Sources for this page

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