Organization Active NPI

Richmond Behavioral Associates, LLC

  • Psychiatry Physician
  • Staten Island, NY
National Provider Identifier
1922200609
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
156059 Issued in NY
Legal business name
RICHMOND BEHAVIORAL ASSOCIATES, LLC
Practice address
260 Christopher LN
Staten Island, NY 10314-1607
Phone
(718) 317-5522
Fax
(718) 317-5919
NPI assigned
Jun 4, 2007
Last updated
Jan 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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

Authorized official

Name
Mark V DibuonoNPI 1538143680
Title
Psychiatrist
Phone
(718) 317-5522

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 Physician 2084P0800X 156059 NY Primary

Addresses

Primary practice location

260 Christopher LN
Staten Island, NY 10314-1607

Mailing address

260 Christopher LN
Staten Island, NY 10314-1607
Phone (718) 317-5522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141023000718 NY Part B Supplier - Clinic/Group Practice 0648491290 Receives reassigned benefits from 5 practitioners
Practice locations: Staten Island, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D1050619Richmond Behavioral Associates260 Christopher Lane, Staten Island, NY 10314Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

260 Christopher Ln
Ste 3F
Staten Island, NY 10314
Phone (718) 317-5522

4349 Hylan Blvd
Staten Island, NY 10312
Phone (718) 227-1897

Practitioners & affiliated clinicians

Practitioners 8

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": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768521600000",
    "number": "1922200609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 CHRISTOPHER LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103141607",
            "telephone_number": "718-317-5522",
            "fax_number": "718-317-5919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 CHRISTOPHER LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103141607",
            "telephone_number": "718-317-5522",
            "fax_number": "718-317-5919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHMOND BEHAVIORAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A",
        "authorized_official_last_name": "DIBUONO",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "718-317-5522"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "156059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.