RIVERSIDE ACADEMY (NPI# 1932441177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932441177 |
Entity Type | Organization |
Organization Name | RIVERSIDE ACADEMY |
Practice Address |
2050 W 11th St N Wichita KS 67203-3006 |
Practice Telephone | 3162675710 |
Mailing Telephone | 3162675710 |
Enumeration Date | 2013-03-26 |
Last Update Date | 2013-03-26 |
Authorized Official Name | MEREDITH WHALEY (CLINCIAL DIRECTOR) |
Authorized Official Telephone | 3162675710 |
Authorized Official Credential | LSCSW |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 8668 | KS | Residential Treatment Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225379324 | Riverside Academy | Psychiatric Residential Treatment Facility | 2050 W 11th St N, Wichita, KS 67203-3006 | 2013-03-14 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | RIVERSIDE ACADEMY | 7124 Miller Rd, Dearborn, MI 48126-1918 |
Street Address |
2050 W 11TH ST N |
City | WICHITA |
State | KS |
Zip Code | 67203-3006 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013137397 | Lemon Tree Enterprises, LLC | Psychiatric Residential Treatment Facility | 2050 W 11th St N, Wichita, KS 67203 | 2007-04-27 |
1558734632 | Reginald Drew | Counselor | 2050 W 11th St N, Wichita, KS 67203-3006 | 2015-11-11 |
1942623285 | Sonja K Ostrander | Social Worker | 2050 W 11th St N, Wichita, KS 67203-3006 | 2014-01-22 |
1689916983 | Dabria Celeste Vangieson | Marriage & Family Therapist | 2050 W 11th St N, Wichita, KS 67203-3006 | 2013-03-25 |
1184966459 | Chelsea M Hemberger | Social Worker | 2050 W 11th St N, Wichita, KS 67203-3006 | 2013-03-25 |
1225379324 | Riverside Academy | Psychiatric Residential Treatment Facility | 2050 W 11th St N, Wichita, KS 67203-3006 | 2013-03-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194372342 | Briana Renea Drury | Occupational Therapist | Via Christi Village 777 N Mclean Blvd, Wichita, KS 67203 | 2019-08-22 |
1568991826 | Kansas Transportation Services | Transportation Broker | 3536 W 2nd St N, # 503, Wichita, KS 67203 | 2017-06-08 |
1326590621 | Katherine Renee Newby | Marriage & Family Therapist | 930 W Douglas Ave # G, Wichita, KS 67203 | 2016-11-03 |
1376093211 | Stellar Home Health LLC | Home Health | 2525 W 13th St North, Suite 300, Wichita, KS 67203 | 2016-10-04 |
1972966497 | David Duane Sorrick | Marriage & Family Therapist | 1999 North Amidon, Wichita, KS 67203 | 2016-04-01 |
1285004978 | M. Sullivan Chiropractic LLC | Chiropractor | 728 W. Douglas Ave, Wichita, KS 67203 | 2015-10-07 |
1740664648 | Miketo Michelle Kirk | Counselor | 2050 West 11th St., Wichita, KS 67203 | 2015-07-10 |
1063895209 | Let's Talk Therapy and Supervision Inc | Social Worker | 2458 W Newell St, Wichita, KS 67203 | 2015-07-07 |
1396147096 | Heather Ann Shelton | Counselor | 1919 N Amidon Ave Ste 108, Wichita, KS 67203 | 2014-09-24 |
1538568456 | Patricia D. Riley | Social Worker | 1900 N Amidon Ave Ste 210, Wichita, KS 67203 | 2014-08-15 |
Find all providers in zip 67203 |
Taxonomy Code | 322D00000X |
Grouping | Residential Treatment Facilities |
Classification | Residential Treatment Facility, Emotionally Disturbed Children |
A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548316615 | The Salvation Army | Residential Treatment Facility, Emotionally Disturbed Children | 350 N Market St, Wichita, KS 67202-2010 | 2007-01-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962789214 | Freedom House Ministries | Residential Treatment Facility, Emotionally Disturbed Children | 7044 Antioch Rd, Merriam, KS 66204-1246 | 2011-11-14 |
1104042290 | Kelley Detention Services of Wakeeney, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 675 South 13th Street, Wakeeney, KS 67672 | 2007-04-17 |
1669698759 | Clarence M. Kelley Detention Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 6700 Southwest Topeka Boulevard, Building 379, Forbes Field, Topeka, KS 66214 | 2007-04-17 |
1457576381 | Clarence M. Kelley Detention Services of Topeka, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 2620 Se 23rd St, Topeka, KS 66605-1747 | 2007-04-16 |
1750361119 | Marillac Center, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 8000 W 127th St, Overland Park, KS 66213-2714 | 2006-01-20 |
1871778217 | Richard Alspaw | Residential Treatment Facility, Emotionally Disturbed Children | 24401 W Macarthur Rd, Goddard, KS 67052-8713 | 2008-01-03 |
1184764151 | Kvc Hospitals Inc | Residential Treatment Facility, Emotionally Disturbed Children | 4300 Brenner Dr, Kansas City, KS 66104-1163 | 2007-02-07 |
1235210196 | Area Mental Health Center | Residential Treatment Facility, Emotionally Disturbed Children | 1111 E Spruce St, Garden City, KS 67846-5958 | 2006-10-18 |
1154421097 | Southwest Guidance Center | Residential Treatment Facility, Emotionally Disturbed Children | 333 W 15th St, Liberal, KS 67901-2455 | 2006-09-22 |
1710095435 | Iroquois Center for Human Development, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 610 E Grant Ave, Greensburg, KS 67054-2708 | 2006-08-25 |
Find all providers with the same taxonomy |
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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.