RIVER ROCK PSYCHIATRY, LLC (NPI# 1124405709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124405709 |
| Entity Type | Organization |
| Organization Name | RIVER ROCK PSYCHIATRY, LLC |
| Practice Address |
11 S Main St Ste 2 Middletown CT 06457-3656 |
| Practice Telephone | 8603438875 |
| Mailing Telephone | 8603438875 |
| Enumeration Date | 2015-05-02 |
| Last Update Date | 2015-05-02 |
| Authorized Official Name | DR. SUSAN MCNAMARA (MEMBER) |
| Authorized Official Telephone | 8603438875 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | RIVER ROCK PSYCHIATRY, LLC | 11 South Main Street, Ste 2, Middletown, CT 06457 |
| Street Address |
11 S MAIN ST STE 2 |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457-3656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891346334 | Kayla Rose Curtis | Nurse Practitioner | 11 S Main St, Middletown, CT 06457-3656 | 2019-09-25 |
| 1376089003 | Middlesex Dermatology, LLC | Dermatology | 11 S Main St, Middletown, CT 06457-3656 | 2017-01-19 |
| 1083083638 | Kimberly Ellen Boldon | Nurse Practitioner | 11 S Main St, Middletown, CT 06457-3656 | 2015-09-24 |
| 1083093579 | Blue Hills Behavioral Health | Psychiatry & Neurology | 11 S Main St, Middletown, CT 06457-3656 | 2015-05-29 |
| 1992909816 | Middlesex Neuropsychiatric Center | Psychiatry & Neurology | 11 S Main St, Middletown, CT 06457-3656 | 2007-06-13 |
| 1437376597 | Melissa P. Divito | Counselor | 11 S Main St, Middletown, CT 06457-3656 | 2007-04-19 |
| 1568555985 | Donna Harvey Ramage | Counselor | 11 S Main St, Middletown, CT 06457-3656 | 2006-09-30 |
| 1275632994 | Marc David Aronson | Psychiatry & Neurology | 11 S Main St, Middletown, CT 06457-3656 | 2006-09-21 |
| 1851300958 | Susan Rebecca Uber | Psychologist | 11 S Main St, Middletown, CT 06457-3656 | 2006-08-07 |
| 1063432466 | Susan Mcnamara | Psychiatry & Neurology | 11 S Main St, Suite 2, Middletown, CT 06457-3656 | 2006-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699391961 | Meghan Harrington | Behavior Technician | 101 Centerpoint Drive #243, Middletown, CT 06457 | 2020-06-22 |
| 1427619626 | Collaborative Aba Services, LLC | Behavioral Analyst | 515 Centerpoint Drive, Suite 205, Middletown, CT 06457 | 2019-06-27 |
| 1376100339 | Kimberly Tynik | Pharmacist | 451 Fowler Ave, Middletown, CT 06457 | 2019-05-24 |
| 1184101263 | Tabrez Adil | Dentist | 675 Main St., Middletown, CT 06457 | 2018-07-23 |
| 1326535337 | Rehan Khan | Non-emergency Medical Transport (VAN) | 765 Country Club Rd, Middletown, CT 06457 | 2018-04-16 |
| 1366950206 | State of Connecticut | Psychiatric Hospital | 70 O'brien Drive, Middletown, CT 06457 | 2018-01-12 |
| 1902324536 | Cynthia Tine | Physical Therapy Assistant | 628 Congdon Street, Middletown, CT 06457 | 2017-09-04 |
| 1619494390 | Nathan Douglas Roy | Specialist/Technologist | 431 Briarwood Lane, Middletown, CT 06457 | 2017-08-24 |
| 1598286502 | Rachel Hoffman Whelen | Registered Nurse | 420 Saybrook Road, Suite A, Middletown, CT 06457 | 2017-06-29 |
| 1003358326 | Rebecca Rotondo | Social Worker | 230 Main Street Extension, Act Team, Gilead Community Services, Middletown, CT 06457 | 2016-11-17 |
| Find all providers in zip 06457 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
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| 1033404025 | The Connection, Inc. | Clinic/Center | 100 Roscommon Dr, Middletown, CT 06457-1591 | 2011-06-17 |
| 1952442725 | The Connection Inc. | Clinic/Center | 196 Court St, Middletown, CT 06457-3302 | 2007-02-12 |
| 1427074426 | State of Connecticut | Clinic/Center | Silver Street, Dutton Home, Middletown, CT 06457 | 2006-07-14 |
| 1225063860 | State of Connecticut | Clinic/Center | 2 Vance Drive Russell Hall, Connecticut Valley Hospital, Middletown, CT 06457 | 2006-07-12 |
| 1518948025 | Gilead Community Services, Inc. | Clinic/Center | 230 Main Street Ext, Middletown, CT 06457-4470 | 2005-11-10 |
| 1609351477 | Pax Treatment Centers LLC | Clinic/Center | 4302 Roosevelt Blvd, Middletown, OH 45044-6625 | 2018-09-27 |
| 1861911455 | Small Victories Wellness Services, Pllc | Clinic/Center | 424 High St, Middletown, CT 06457-2633 | 2017-09-14 |
| 1225339666 | The Connection Inc. | Clinic/Center | 955 S Main St, Middletown, CT 06457-5153 | 2010-11-16 |
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| 1447812250 | Camellia Place Healthcare Services LLC | Clinic/Center | 100 Market Sq Ste 12, Newington, CT 06111-2921 | 2019-07-01 |
| 1427616077 | Therigatha Center for Psychotherapy | Clinic/Center | 68 Bridge St Unit 301, Suffield, CT 06078-3108 | 2019-05-30 |
| 1942864145 | Cynthia Leavitt, LLC | Clinic/Center | 39 New London Tpke Ste 316, Glastonbury, CT 06033-2061 | 2019-04-24 |
| 1285108498 | Lana Lachance LLC | Clinic/Center | 346 Main St S Fl 2, Woodbury, CT 06798-3409 | 2019-01-22 |
| 1295215093 | Mindful Therapy Studio LLC | Clinic/Center | 16 Rae Palmer Road, Moodus, CT 06423 | 2018-08-21 |
| 1356831960 | Connecticut Counseling Centers Inc | Clinic/Center | 15 Commerce Rd Lowr 1, Stamford, CT 06902-4553 | 2018-05-18 |
| 1780189480 | Connecticut Counseling Centers, Inc. | Clinic/Center | 290 Pratt St Ste 2312, Meriden, CT 06450-8600 | 2018-03-26 |
| 1750807426 | The Connection Inc | Clinic/Center | 37 Garden St, Hartford, CT 06105-2129 | 2017-08-15 |
| Find all providers with the same taxonomy | ||||
| City | MIDDLETOWN |
| Zip Code | 06457 |
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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.