Individual provider Active NPI

Stephanie Ann Riolo, M.D.

  • Child & Adolescent Psychiatry Physician
  • Dayton, OH
National Provider Identifier
1942237425
Registry record updated Apr 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
35087779 Issued in OH
Practice address
1001 E 2ND St
Suite 2000
Dayton, OH 45402-1372
Phone
(937) 607-1710
NPI assigned
Jun 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 35087779 OH Primary
Child & Adolescent Psychiatry Physician 2084P0804X 4301077485 MI

Addresses

Primary practice location

1001 E 2ND St
Suite 2000
Dayton, OH 45402-1372

Mailing address

1001 E 2ND St
Suite 2000
Dayton, OH 45402-1372
Phone (937) 607-1710

Other identifiers 1

IdentifierTypeStateIssuer
2356927MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051026000886 MI Practitioner - Psychiatry 0840217170 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Judson Center IncGroup PAC ID 5698906907, 10 clinicians

Practice addresses (Care Compare)

12200 E 13 Mile Rd
200 Judson Center Family
Warren, MI 48093-3041
Phone (586) 573-1810

12220 E 13 Mile Rd
Suite 200
Warren, MI 48093-5000
Phone (866) 558-3766

4410 W 13 Mile Rd
Royal Oak, MI 48073-6515
Phone (866) 558-3766

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301077485MIMDChild & Adolescent Psychiatry Physician
35087779OHMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Macomb CurrentSince Aug 6, 2023 Accepting new patients
County of Macomb CurrentSince Aug 6, 2023 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Judson Center, Inc. Past Accepting new patients
Butler Behavioral Health Services, Inc. PastSince Oct 11, 1999 Accepting new patients
Seniors Wellness Group of Michigan, P.C. Past Accepting new patients

Locations

19800 Hall Rd
Clinton Twp, MI 48038
Phone (586) 854-4804

43740 N Groesbeck Hwy
Clinton Twp, MI 48036
Phone (586) 469-7229

25401 Harper Ave
St Clr Shores, MI 48081
Phone (586) 466-6912

12200 E 13 Mile Rd
Ste 200
Warren, MI 48093
Phone (586) 573-1810

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/bbhs/r4/

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365379200000",
    "number": "1942237425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 E 2ND ST",
            "address_2": "SUITE 2000",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454021372",
            "telephone_number": "937-607-1710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E 2ND ST",
            "address_2": "SUITE 2000",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454021372",
            "telephone_number": "937-607-1710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIOLO",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2013-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "OH",
            "license": "35087779",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MI",
            "license": "4301077485",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2356927",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.