NPIMap

Organization Active NPI

Riverdale Mental Health Association Inc

  • Mental Illness Community Based Residential Treatment Facility
  • Bronx, NY
National Provider Identifier
1629002969
Registry record updated Mar 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
RIVERDALE MENTAL HEALTH ASSOCIATION INC
Practice address
642 W 232ND St
Bronx, NY 10463-3207
Phone
(718) 224-2900
Fax
(718) 884-1772
NPI assigned
Jul 11, 2006
Last updated
Mar 24, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2015

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

Authorized official

Name
Robert Brewster, LCSWNPI 1366471476
Title
Executive Director
Phone
(718) 796-5300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X NU Primary

Addresses

Primary practice location

642 W 232ND St
Bronx, NY 10463-3207

Mailing address

5676 Riverdale Ave
Suite 202
Bronx, NY 10471-2138
Phone (718) 796-5300

National Provider Directory

National Provider Directory
Tax ID family
Riverdale Mental Health Association Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

642 W 232nd St
Bronx, NY 10463
Phone (718) 224-2900

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": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427155200000",
    "number": "1629002969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5676 RIVERDALE AVE",
            "address_2": "SUITE 202",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104712138",
            "telephone_number": "718-796-5300",
            "fax_number": "718-548-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "642 W 232ND ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104633207",
            "telephone_number": "718-224-2900",
            "fax_number": "718-884-1772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERDALE MENTAL HEALTH ASSOCIATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2015-03-24",
        "status": "A",
        "authorized_official_last_name": "BREWSTER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "718-796-5300",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2015; 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.