GREEN RIVER REGIONAL MENTAL HEALTH/MENTAL RETARDATION BOARD, INC. (NPI# 1356383111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356383111 |
| Entity Type | Organization |
| Organization Name | GREEN RIVER REGIONAL MENTAL HEALTH/MENTAL RETARDATION BOARD, INC. |
| Other Organization Name | RIVERVALLEY BEHAVIORAL HEALTH |
| Practice Address |
1224 Venable Ave Owensboro KY 42301-2756 |
| Mailing Address |
Po Box 1637 Owensboro KY 42302-1637 |
| Practice Telephone | 2706852203 |
| Mailing Telephone | 2706852203 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2012-06-11 |
| Authorized Official Name | J. MICHAEL MOUNTAIN (CFO) |
| Authorized Official Telephone | 2706896500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | 950005 | KY | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| RiverValley Behavioral Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356383236 | Green River Regional Mental Health/mental Retardation Board, Inc. | Psychiatric Residential Treatment Facility | 360 Rudy Rd, Owensboro, KY 42301-9562 | 2006-06-12 |
| 1548201379 | Green River Regional Mental Health/mental Retardation Board, Inc. | Psychiatric Hospital | 1000 Industrial Dr, Owensboro, KY 42301-8715 | 2006-06-10 |
| 1487091237 | Green River Regional Mental Health/mental Retardation Board, Inc. | Clinic/Center | 1100 Walnut St, Owensboro, KY 42301-2956 | 2013-06-03 |
| 1609211143 | Green River Regional Mental Health/mental Retardation Board, Inc. | Clinic/Center | 1100 Walnut St, Owensboro, KY 42301-2956 | 2013-05-09 |
| 1427493964 | Green River Regional Mental Health/mental Retardation Board, Inc. | Clinic/Center | 1100 Walnut St, Owensboro, KY 42301-2956 | 2013-05-09 |
| 1154487304 | Green River Regional Mental Health/mental Retardation Board, Inc. | Clinic/Center | 1100 Walnut St, Owensboro, KY 42301-2956 | 2006-12-29 |
| 1316003361 | Green River Regional Mental Health/mental Retardation Board, Inc. | Psychiatric Hospital | 1000 Industrial Dr, Owensboro, KY 42301-8715 | 2006-12-27 |
| 1629134663 | Green River Regional Mental Health/mental Retardation Board, Inc. | Clinic/Center | 1100 Walnut St, Owensboro, KY 42301-2956 | 2006-12-27 |
| 1427114461 | Green River Regional Mental Health/mental Retardation Board, Inc. | Clinic/Center | 1100 Walnut St, Owensboro, KY 42301-2956 | 2006-12-27 |
| 1558423673 | Green River Regional Mental Health/mental Retardation Board, Inc. | Case Management | 1100 Walnut St, Owensboro, KY 42301-2956 | 2006-12-14 |
| Street Address |
1224 VENABLE AVE |
| City | OWENSBORO |
| State | KY |
| Zip Code | 42301-2756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528460110 | Therese Marie Petzold | Social Worker | 1224 Venable Ave, Owensboro, KY 42301-2756 | 2014-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124558002 | To The Max Behavior Therapy, LLC | Behavioral Analyst | 905 Griffith Avenue, Owensboro, KY 42301 | 2017-06-14 |
| 1558747014 | Kendall L Tapp | Counselor | 1925 Frederica St, Owensboro, KY 42301 | 2015-08-07 |
| 1104168210 | Behavior Associates, LLC | Psychologist | 3445 Wathens Xing Ste 104, Owensboro, KY 42301 | 2013-03-27 |
| 1285990259 | Jaime E Ford | Preventive Medicine | 1723 Windsor Ave., Owensboro, KY 42301 | 2012-04-04 |
| 1457637043 | Bliss United Dental Services Dba Owensboro Family Dentistry | Dentist | 4921 Goetz Dr., Owensboro, KY 42301 | 2011-10-26 |
| 1932483138 | Dennis Craig Hodges | Pharmacist | 2318 Frederica Street, Owensboro, KY 42301 | 2011-10-06 |
| 1225317381 | Donna Kay Ewing | Social Worker | 1925 Frederica St Ste 200, Owensboro, KY 42301 | 2011-08-08 |
| 1639489230 | Easycare Inc | Durable Medical Equipment & Medical Supplies | 5010 Back Square Drive, Owensboro, KY 42301 | 2010-10-15 |
| 1962727529 | Amy Martin | Physical Therapy Assistant | 2420 West Thrid Street, Owensboro, KY 42301 | 2010-04-07 |
| 1215163837 | Green River District Health Department | Public Health or Welfare | 5390 Hwy 56, Owensboro, KY 42301 | 2009-06-10 |
| Find all providers in zip 42301 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356383236 | Green River Regional Mental Health/mental Retardation Board, Inc. | Psychiatric Residential Treatment Facility | 360 Rudy Rd, Owensboro, KY 42301-9562 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598234114 | Spectrum Care Academy Bluegrass 2 | Psychiatric Residential Treatment Facility | 1175 Cane Valley Rd., Columbia, KY 42728 | 2018-11-14 |
| 1467934315 | Children's Home of Northern Kentucky | Psychiatric Residential Treatment Facility | 200 Home Road, Covington, KY 41011-1942 | 2018-09-06 |
| 1740554864 | Uspiritus-brooklawn-steil | Psychiatric Residential Treatment Facility | 3100 Brooklawn Campus Dr, Louisville, KY 40218 | 2012-03-07 |
| 1730489113 | Maryhurst, Inc. | Psychiatric Residential Treatment Facility | 2115 Goldsmith Ln, Louisville, KY 40218-1206 | 2010-11-01 |
| 1558591669 | Uspiritus-brooklawn-susan's | Psychiatric Residential Treatment Facility | 2119 Goldsmith Ln, Louisville, KY 40218-1206 | 2009-07-23 |
| 1396985131 | Jewish Hospital & St. Mary's Healthcare, Inc. | Psychiatric Residential Treatment Facility | 4419 Lasalle Ave, Louisville, KY 40215 | 2009-03-05 |
| 1841448735 | Jewish Hospital & St. Mary's Healthcare, Inc. | Psychiatric Residential Treatment Facility | 4418 Malcolm Ave., Louisville, KY 40215 | 2008-09-04 |
| 1467633107 | Sunrise Children's Services, Inc. | Psychiatric Residential Treatment Facility | 400 Cunningham Way, Danville, KY 40422 | 2007-11-23 |
| 1194936765 | Spectrum Care Academy, Inc. | Psychiatric Residential Treatment Facility | 1390 Lick Fork Rd, London, KY 40741-9534 | 2007-05-25 |
| 1720298342 | Spectrum Care Academy, Inc. | Psychiatric Residential Treatment Facility | 461 Fowler Ln, Elizabethtown, KY 42701-8546 | 2007-05-23 |
| 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.