River House Wellness, LLC

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

Legal business name

RIVER HOUSE WELLNESS, LLC

Practice address

3650-3670 NE Indian River Dr
Jensen Beach, FL 34957-4116

Phone

(772) 946-1665

NPI assigned

Oct 1, 2024

Organization subpart

No

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

Authorized official

Name

Doug Proctor

Title

Owner

Phone

(772) 946-1665

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1727740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728000000000",
    "number": "1649098302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650-3670 NE INDIAN RIVER DR",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349574116",
            "telephone_number": "772-946-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650-3670 NE INDIAN RIVER DR",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349574116",
            "telephone_number": "772-946-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER HOUSE WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-01",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-01",
        "status": "A",
        "authorized_official_last_name": "PROCTOR",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-946-1665"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Higinbotham PA
• Doris A Riggs, MASTERS DEGREE IN CO
• Dennis R Rinaldi, DMD PA
• Caroline Lee Rissacher, D.C.
• Todd Raynor Rissacher, DC
• Barbara Ann Robert, PH.D.
• Emilee Robins, LCSW
• Ileana Rodriguez
• Lee Ann Rooney Giardino, NP
• Joel William Rosenfeld, DMD

• Psychiatric Residential Treatment Facility in Jensen Beach, FL
• Providers in Jensen Beach, FL by specialty
• Psychiatric Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; 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.