Rivergate Family Resource Center, LLC.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

RIVERGATE FAMILY RESOURCE CENTER, LLC.

Practice address

7481 W Oakland Park Blvd Ste 308D
Tamarac, FL 33319-4961

Phone

(754) 400-5407

NPI assigned

Jan 29, 2018

Organization subpart

No

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

Authorized official

Name

Kyriaki Roberts

Title

Provider

Phone

(754) 400-5407

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1517184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517184000000",
    "number": "1982102646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7481 W OAKLAND PARK BLVD STE 308D",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333194961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7481 W OAKLAND PARK BLVD STE 308D",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333194961",
            "telephone_number": "754-400-5407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERGATE FAMILY RESOURCE CENTER, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-29",
        "last_updated": "2018-01-29",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "KYRIAKI",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "754-400-5407"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monthia Allison Ricketts, RN, BSN
• Audley Leonard Ridley Jr., O.D
• Joshua Riederman, DO
• Nicole Merida Rivera, LCSW
• Wendy Angeline Rivera, LPN
• RM Schneider, M.D., P.a.
• Rma of Tamarac LLC
• Valerie Taryn Robbins
• Robert J. Fish, D.D.S.
• Robert J. Snyder D.P.M., PA

• Mental Health Counselor in Tamarac, FL
• Providers in Tamarac, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2018; 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.