Riverside Therapy LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1766 Issued in CT

Legal business name

RIVERSIDE THERAPY LLC

Practice address

50 Washington Ave
Westport, CT 06880-2548

Phone

(203) 832-3490

Fax

(508) 433-1871

NPI assigned

Jan 22, 2016

Organization subpart

No

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

Authorized official

Name

Marina Klimova, LMFT

Title

Owner

Phone

(203) 832-3490

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1453420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453420800000",
    "number": "1659738565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 WASHINGTON AVE",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068802548",
            "telephone_number": "203-832-3490",
            "fax_number": "508-433-1871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 WASHINGTON AVE",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068802548",
            "telephone_number": "203-832-3490",
            "fax_number": "508-433-1871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-22",
        "last_updated": "2016-01-22",
        "status": "A",
        "authorized_official_last_name": "KLIMOVA",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-832-3490",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "1766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Riesbeck, RD
• Daria Rinde
• Ashish Risal
• Derio Marc Rivera, LPC, NCC
• Ileana Rivera
• Moira Omeara Rizzo, LMFT
• Robert a, Marshall D.C. P.C.
• Robert S Kruger PHD PC
• Rockwall Orthodontics Inc (Westwalk Orthodontic Group)
• Krista Rodgerson, MFTA

• Marriage & Family Therapist in Westport, CT
• Providers in Westport, CT by specialty
• Marriage & Family Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2016; 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.