Active NPI
Riverbank Psychotherapy
- Mental Health Counselor
- New York, NY
National Provider Identifier
1588460885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- RIVERBANK PSYCHOTHERAPY
- Practice address
- 352 7TH Ave RM 1604
New York, NY 10001-5012 - Phone
- (917) 683-1107
- NPI assigned
- Feb 19, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yiwen Fan
- Title
- Founder
- Phone
- (917) 683-1107
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
352 7TH Ave RM 1604
New York, NY 10001-5012
Mailing address
45 River Dr S Apt 2514
Jersey City, NJ 07310-3731
Phone (917) 683-1107
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- New York, NY
- NPI 1548607534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739923200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739923200000",
"number": "1588460885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 RIVER DR S APT 2514",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073103731",
"telephone_number": "917-683-1107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "352 7TH AVE RM 1604",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100015012",
"telephone_number": "917-683-1107"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVERBANK PSYCHOTHERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-19",
"last_updated": "2025-02-19",
"certification_date": "2025-02-19",
"status": "A",
"authorized_official_last_name": "FAN",
"authorized_official_first_name": "YIWEN",
"authorized_official_title_or_position": "FOUNDER",
"authorized_official_telephone_number": "917-683-1107"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.