NPIMap

Organization Active NPI

Riverview Psychiatric Medicine, PC

  • Psychiatry Physician
  • Poughkeepsie, NY
National Provider Identifier
1881005460
Registry record updated May 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
166228-1 Issued in NY
Legal business name
RIVERVIEW PSYCHIATRIC MEDICINE, PC
Practice address
370 Violet Ave
Poughkeepsie, NY 12601-1034
Phone
(845) 471-1807
Fax
(845) 471-1815
NPI assigned
May 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2014

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

Authorized official

Name
Dr. Randy I. Pardell, MD, DFAPANPI 1578516969
Title
Director
Phone
(845) 471-1807

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
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 166228-1 NY Primary

Addresses

Primary practice location

370 Violet Ave
Poughkeepsie, NY 12601-1034

Mailing address

370 Violet Ave
Poughkeepsie, NY 12601
Phone (845) 471-1807

National Provider Directory

National Provider Directory
Tax ID family
Clearwave Psychiatry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

370 Violet Ave
Poughkeepsie, NY 12601
Phone (845) 471-1807

Practitioners & affiliated clinicians

Practitioners 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1400198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400198400000",
    "number": "1881005460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 VIOLET AVE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "12601",
            "telephone_number": "845-471-1807",
            "fax_number": "845-471-1815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 VIOLET AVE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011034",
            "telephone_number": "845-471-1807",
            "fax_number": "845-471-1815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERVIEW PSYCHIATRIC MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-16",
        "last_updated": "2014-05-16",
        "status": "A",
        "authorized_official_last_name": "PARDELL",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "845-471-1807",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, DFAPA"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "166228-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; 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.