Active NPI
Riverside Physician Services Inc
Doing business as Riverside Behavioral Health Center
- Psychiatry Physician
- Hampton, VA
National Provider Identifier
1366582751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- RIVERSIDE PHYSICIAN SERVICES INC
- Doing business as
- Riverside Behavioral Health Center
- Practice address
- 2244 Executive Dr
Hampton, VA 23666-2430 - Phone
- (757) 827-1001
- Fax
- (757) 827-3128
- NPI assigned
- Feb 7, 2007
- Organization subpart
- Yes
- Parent organization
- RIVERSIDE HEALTHCARE ASSOCIATES INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Lesnick, MD
- Title
- Vice President
- Phone
- (757) 594-4006
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
2244 Executive Dr
Hampton, VA 23666-2430
Mailing address
856 J Clyde Morris Blvd
Suite a
Newport News, VA 23601-1318
Phone (757) 594-4006
Other names 1
- Riverside Behavioral Health Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040207000400 | VA | Part B Supplier - Clinic/Group Practice | 5092608448 |
Receives reassigned benefits from 1,191 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1413331200000",
"number": "1366582751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "856 J CLYDE MORRIS BLVD",
"address_2": "SUITE A",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236011318",
"telephone_number": "757-594-4006",
"fax_number": "757-534-5190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2244 EXECUTIVE DR",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236662430",
"telephone_number": "757-827-1001",
"fax_number": "757-827-3128"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVERSIDE PHYSICIAN SERVICES INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "RIVERSIDE HEALTHCARE ASSOCIATES INC",
"enumeration_date": "2007-02-07",
"last_updated": "2014-10-15",
"status": "A",
"authorized_official_last_name": "LESNICK",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "757-594-4006",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Riverside Behavioral Health Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Hampton, VA
- Riverside Hospital Inc (Riverside Behavioral Health Center)
- Riverside Physician Services Inc (Riverside Rheumatology Specialists)
- Riverside Physician Services Inc (Riverside Center for Internal and Family Medicine)
- Riverside Physician Services Inc (Riverside Gastroenterology Specialists)
- Riverside Physician Services Inc (Riverside Partners in Women's Health Hampton)
- Riverside Physician Services Inc (Riverside Orthopedic Specialists)
- Riverside Physician Services Inc (Hampton Roads Neurology-Hampton)
- Riverside Physician Services Inc
- Riverside Physician Services Inc (Elizabeth Lakes Family Practice)
- Riverside Physician Services Inc (Hampton Roads Eye Associates)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; 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.