NPIMap

Organization Active NPI

River Rock Behavioral Health, LLC

  • Clinical Psychologist
  • Saint Louis, MO
National Provider Identifier
1376157453
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
RIVER ROCK BEHAVIORAL HEALTH, LLC
Practice address
50 Crestwood Executive Ctr Ste 308
Saint Louis, MO 63126-1900
Phone
(314) 408-7676
Fax
(314) 328-5453
NPI assigned
Sep 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Authorized official

Name
Jessica L. Harvath, PH.D.NPI 1699143412
Title
Owner
Phone
(314) 408-7676

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
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

50 Crestwood Executive Ctr Ste 308
Saint Louis, MO 63126-1900

Mailing address

50 Crestwood Executive Ctr Ste 308
Saint Louis, MO 63126-1900
Phone (314) 408-7676

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201016000245 MO Part B Supplier - Clinic/Group Practice 7810317609 Receives reassigned benefits from 4 practitioners
Practice locations: Saint Louis, MO

National Provider Directory

National Provider Directory

Locations

8820 Ladue Rd
Ste 203
Saint Louis, MO 63124
Phone 31436711812267

50 Crestwood Executive Ctr
Ste 308
Saint Louis, MO 63126
Phone (314) 408-7676

Practitioners & affiliated clinicians

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1599177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757635200000",
    "number": "1376157453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 CRESTWOOD EXECUTIVE CTR STE 308",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631261900",
            "telephone_number": "314-408-7676",
            "fax_number": "314-328-5453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 CRESTWOOD EXECUTIVE CTR STE 308",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631261900",
            "telephone_number": "314-408-7676",
            "fax_number": "314-328-5453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER ROCK BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-04",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A",
        "authorized_official_last_name": "HARVATH",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-408-7676",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; 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.