GREEN RIVER REGIONAL MENTAL HEALTH/MENTAL RETARDATION BOARD, INC. (NPI# 1457413577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457413577 |
Entity Type | Organization |
Organization Name | GREEN RIVER REGIONAL MENTAL HEALTH/MENTAL RETARDATION BOARD, INC. |
Other Organization Name | RIVERVALLEY BEHAVIORAL HEALTH |
Practice Address |
1100 Walnut St Owensboro KY 42301-2956 |
Mailing Address |
Po Box 1637 Owensboro KY 42302-1637 |
Practice Telephone | 2706896500 |
Mailing Telephone | 2706896500 |
Enumeration Date | 2006-12-14 |
Last Update Date | 2013-06-20 |
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 |
---|---|---|---|---|---|
N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
RiverValley Behavioral Health | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356383111 | Green River Regional Mental Health/mental Retardation Board, Inc. | Psychiatric Residential Treatment Facility | 1224 Venable Ave, Owensboro, KY 42301-2756 | 2006-06-13 |
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 |
Street Address |
1100 WALNUT ST |
City | OWENSBORO |
State | KY |
Zip Code | 42301-2956 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689274912 | Colleen Elizabeth Bosley | Nurse Practitioner | 1100 Walnut St, Owensboro, KY 42301-2956 | 2020-10-27 |
1679170898 | Raymond Ramon Lowery | Counselor | 1100 Walnut St, Owensboro, KY 42301-2956 | 2020-10-01 |
1033725353 | Cheryl Elder | Nurse Practitioner | 1100 Walnut St, Owensboro, KY 42301-2956 | 2020-09-22 |
1659998466 | Mackenzie T Sorrels | Counselor | 1100 Walnut St, Owensboro, KY 42301-2956 | 2020-06-26 |
1063038396 | Brittany Allyse Whitehouse | Counselor | 1100 Walnut St, Owensboro, KY 42301-2956 | 2020-06-23 |
1336763812 | Serenity Miller | Counselor | 1100 Walnut St, Owensboro, KY 42301-2956 | 2020-06-01 |
1497386254 | Denise Rebecca Pearson | Counselor | 1100 Walnut St, Owensboro, KY 42301-2956 | 2020-01-30 |
1023649928 | Julie A Stallings | Counselor | 1100 Walnut St, Owensboro, KY 42301-2956 | 2020-01-29 |
1760028104 | Allison Warnick | Nurse Practitioner | 1100 Walnut St, Owensboro, KY 42301-2956 | 2019-11-20 |
1265077002 | Kalyn D Jones | Counselor | 1100 Walnut St, Owensboro, KY 42301-2956 | 2019-11-15 |
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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 | 261QD1600X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Developmental Disabilities |
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235277971 | Active Day Ky, Inc. | Clinic/Center | 1035 Frederica St, Suite 170, Owensboro, KY 42301-3074 | 2007-02-02 |
1609211143 | Green River Regional Mental Health/mental Retardation Board, Inc. | Clinic/Center | 1100 Walnut St, Owensboro, KY 42301-2956 | 2013-05-09 |
1518302058 | Behavioral Healthcare Services, 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 |
1598828956 | Behavioral Healthcare Services, Inc. | Clinic/Center | 1100 Walnut St, Owensboro, KY 42301-2956 | 2006-12-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366091738 | Green River Area Down Syndrome | Clinic/Center | 7155 Masonville Habit Rd, Philpot, KY 42366-9116 | 2019-09-09 |
1861604142 | Creekside Child Development Services Inc | Clinic/Center | 1120 Brush Creek Road, Clay City, KY 40312 | 2007-05-07 |
1316086853 | Acsr, Inc. | Clinic/Center | 1165 Lakeway Dr, Russell Springs, KY 42642-4564 | 2007-02-05 |
1578602819 | Active Day Ky, Inc. | Clinic/Center | 1238 Woodland Dr, Elizabethtown, KY 42701-2767 | 2007-02-05 |
1497894935 | Acsr, Inc. | Clinic/Center | 928 Commercial Dr, Suite 2, Richmond, KY 40475-3403 | 2007-02-05 |
1053459701 | Acsr, Inc. | Clinic/Center | 100 St. Luke Pl, Suite B, Georgetown, KY 40324 | 2007-02-02 |
1487792453 | Acsr, Inc. | Clinic/Center | 6938 Us Route 60, Ashland, KY 41102-9519 | 2007-02-02 |
1427196286 | Acsr, Inc. | Clinic/Center | 10 Hudson Hollow Rd, Frankfort, KY 40601-4311 | 2007-02-02 |
1477691301 | Active Day Ky, Inc. | Clinic/Center | 1297 Springfield Rd, Bardstown, KY 40004-2219 | 2007-02-02 |
1740328566 | Acsr, Inc. | Clinic/Center | 1860 Old Lebanon Rd, Campbellsville, KY 42718-9663 | 2007-02-02 |
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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.