RIVERSIDE PHYSICIAN SERVICES INC (NPI# 1366582751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366582751 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE PHYSICIAN SERVICES INC |
| Other Organization Name | RIVERSIDE BEHAVIORAL HEALTH CENTER |
| Practice Address |
2244 Executive Dr Hampton VA 23666-2430 |
| Mailing Address |
856 J Clyde Morris Blvd Suite A Newport News VA 23601-1318 |
| Practice Telephone | 7578271001 |
| Practice Fax Number | 7578273128 |
| Mailing Telephone | 7575944006 |
| Mailing Fax Number | 7575345190 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2014-10-15 |
| Authorized Official Name | JAMES LESNICK (VICE PRESIDENT) |
| Authorized Official Telephone | 7575944006 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | RIVERSIDE HEALTHCARE ASSOCIATES INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Riverside Behavioral Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295139087 | Riverside Physician Services Inc | Physical Medicine & Rehabilitation | 109 Philip Roth St Ste 490, Newport News, VA 23606-1393 | 2014-10-22 |
| 1588914378 | Riverside Physician Services Inc | Orthopaedic Surgery | 11224 Lankford Hwy, Temperanceville, VA 23422 | 2012-09-19 |
| 1003118860 | Riverside Physician Services Inc | Internal Medicine | 4917 Richmond Tappahannock Hwy, Suite 1-b, Aylett, VA 23009-3416 | 2010-11-30 |
| 1114170446 | Riverside Physician Services Inc | Psychiatry & Neurology | 7547 Medial Drive, Suite 1300, Gloucester, VA 23061 | 2008-10-30 |
| 1114170552 | Riverside Physician Services Inc | Otolaryngology | 7552 Hospital Dr Ste 302, Gloucester, VA 23061-4178 | 2008-10-29 |
| 1851314934 | Riverside Physician Services Inc | Urology | 668 Hospital Road, Bldg B Suite 300, Tappahannock, VA 22560 | 2006-07-26 |
| 1245252253 | Riverside Physician Services Inc | Obstetrics & Gynecology | 648 Hospital Road, Suite B-305, Tappahannock, VA 22560 | 2006-07-25 |
| 1104847854 | Riverside Physician Services Inc | Surgery | 7547 Medical Drive, Suite 1500, Gloucester, VA 23061 | 2006-07-21 |
| 1609897347 | Riverside Physician Services Inc | Orthopaedic Surgery | 7554 Hospital Drive, Suite 202a, Gloucester, VA 23061 | 2006-07-21 |
| 1699796359 | Riverside Physician Services Inc | Internal Medicine | 7560 Hospital Drive, Suite 101, Gloucester, VA 23061 | 2006-07-21 |
| Street Address |
2244 EXECUTIVE DR |
| City | HAMPTON |
| State | VA |
| Zip Code | 23666-2430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659365989 | Shaista Ashai | Psychiatry & Neurology | 2244 Executive Dr, Hampton, VA 23666-2430 | 2005-09-01 |
| 1134736929 | Tasha Washington | Nurse Practitioner | 2244 Executive Dr, Hampton, VA 23666-2430 | 2020-09-26 |
| 1518576297 | Omari Peterkin | Nurse Practitioner | 2244 Executive Dr, Hampton, VA 23666-2430 | 2020-07-28 |
| 1093339574 | Jonathan Greer Cawthon | Counselor | 2244 Executive Dr, Hampton, VA 23666-2430 | 2020-06-01 |
| 1346873171 | Glory Mbong-ngwa | Nurse Practitioner | 2244 Executive Dr, Hampton, VA 23666-2430 | 2020-02-20 |
| 1134751530 | Candace Bynum Lankford | Nurse Practitioner | 2244 Executive Dr, Hampton, VA 23666-2430 | 2020-02-04 |
| 1679132369 | Cheree Latai Faison | Nurse Practitioner | 2244 Executive Dr, Hampton, VA 23666-2430 | 2019-06-06 |
| 1881158855 | Erin M Holland | Counselor | 2244 Executive Dr, Hampton, VA 23666-2430 | 2019-01-24 |
| 1053894386 | Riverside Hospital Inc | Counselor | 2244 Executive Dr, Hampton, VA 23666-2430 | 2018-09-12 |
| 1851871529 | Abrian Nicole Wiggins | Counselor | 2244 Executive Dr, Hampton, VA 23666-2430 | 2018-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548824022 | Melanin Excellence Medical Transportation Co LLC | Non-emergency Medical Transport (VAN) | 4418 East Claiborne Sq, Suite 334, Hampton, VA 23666 | 2019-04-30 |
| 1952880502 | Exquisite Counseling Services LLC | Counselor | 2703 Build America Drive, Hampton, VA 23666 | 2018-08-13 |
| 1063999811 | Speak From The Heart | Speech-Language Pathologist | 2 Abbott Dr, Hampton, VA 23666 | 2018-07-24 |
| 1245724632 | Drashti Khamar | Dentist | 2040 Coliseum Dr # A27, Hampton, VA 23666 | 2018-06-19 |
| 1750874772 | Dion J Roszina | Private Vehicle | 806 Charlton,dr, Hampton, VA 23666 | 2018-06-13 |
| 1205352481 | Crystal Lynn Harris | Counselor | 2021 Cunningham Drive, Suite 400, Hampton, VA 23666 | 2017-08-18 |
| 1538693361 | Marquis A. Norton | Counselor | 4410 East Claiborne Street, Suite 334, Hampton, VA 23666 | 2017-04-18 |
| 1194181966 | Key Elements Care, LLC | Case Management | 20 Research Dr Ste 600, Hampton, VA 23666 | 2016-01-11 |
| 1740665215 | Lauren-grey Gonzales Igel | Hearing Instrument Specialist | 1507 Hardy Cash Drive, Hampton, VA 23666 | 2015-07-27 |
| 1457758062 | Alexandra Levine | Acupuncturist | 2216 Executive Dr Ste A, Hampton, VA 23666 | 2014-11-25 |
| Find all providers in zip 23666 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407460413 | Demetrous Johnston | Psychiatry & Neurology | 2 Eaton St # 909, Hampton, VA 23669-4054 | 2020-09-07 |
| 1124447388 | Brian Pho Bui | Psychiatry & Neurology | Hampton Veterans Affairs 100 Emancipation Dr, Hampton, VA 23667 | 2014-04-15 |
| 1811217615 | Andrea Mechelle Brownridge | Psychiatry & Neurology | 14244 Woolsey Rd, Hampton, GA 30228-2251 | 2010-06-03 |
| 1912110495 | Ajay S Kuchibhatla | Psychiatry & Neurology | 400 Medical Dr Ste B, Hampton, VA 23666-1767 | 2007-05-08 |
| 1467465138 | Roopam Sood-khandpur | Psychiatry & Neurology | 2236 Todds Ln, Suite A, Hampton, VA 23666-3160 | 2006-08-14 |
| 1225066418 | Kenneth Joseph Miller | Psychiatry & Neurology | 32 Bay Front Pl, Hampton, VA 23664-1791 | 2006-06-28 |
| 1770550451 | Faisal Mohsin | Psychiatry & Neurology | 200 Medical Dr Ste B, Hampton, VA 23666-1763 | 2006-03-02 |
| 1235100900 | Ian Jonathan Chapel | Psychiatry & Neurology | 200 Medical Dr, Suite B, Hampton, VA 23666-1763 | 2006-01-30 |
| 1902884901 | Michael Jefferies | Psychiatry & Neurology | 112 Pine Creek Dr, Hampton, VA 23669-1244 | 2006-01-09 |
| 1659365989 | Shaista Ashai | Psychiatry & Neurology | 2244 Executive Dr, Hampton, VA 23666-2430 | 2005-09-01 |
| Find all providers in HAMPTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.