DR. VINCENT BRYAN RIVER (NPI# 1497821672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497821672 |
| Entity Type | Individual |
| Full Name | DR. VINCENT BRYAN RIVER |
| Credential | PH.D. |
| Practice Address |
1201 Main St Suite A Polson MT 59860-5333 |
| Practice Telephone | 4068838126 |
| Practice Fax Number | 4068839226 |
| Mailing Telephone | 4068838126 |
| Mailing Fax Number | 4068839226 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2012-10-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
328 | MT | Behavioral Health & Social Service Providers |
| N | 103TF0200X |
Psychologist Specialization: Forensic |
328 | MT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | BLUE CROSS BLUE SHIELD | 51871 | 01 |
| MT | TRICARE | 7718 59860 0000 | 01 |
| MT | 490739 | 05 |
| Street Address |
1201 MAIN ST SUITE A |
| City | POLSON |
| State | MT |
| Zip Code | 59860-5333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194235697 | Matthew Wenzel | Counselor | 1201 Main St, Polson, MT 59860-5328 | 2017-10-10 |
| 1841749249 | Kickin It Enterprises | Social Worker | 1201 Main St, B, Polson, MT 59860-5328 | 2016-09-26 |
| 1952640815 | Gina Dalrymple | Social Worker | 1201 Main St, Suite B, Polson, MT 59860-5328 | 2013-02-12 |
| 1699965913 | Dr. Vincent River, P.C. | Psychologist | 1201 Main St, Suite A, Polson, MT 59860-5333 | 2007-08-01 |
| 1881736924 | Margaret Susan Kearney | Social Worker | 1201 Main St, Suite A, Polson, MT 59860-5333 | 2007-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679095020 | Ashley J Gilham | Registered Nurse | #5 4th Ave E., Polson, MT 59860 | 2017-07-07 |
| 1225585532 | St. Luke Community Hospital | Clinic/Center | 107 Ridgewater Dr., Polson, MT 59860 | 2016-09-02 |
| 1306202163 | Western Montana Mental Health Center | Community Based Residential Treatment Facility, Mental Illness | 7 13th Ave East, Polson, MT 59860 | 2016-01-11 |
| 1154730364 | Wanda L King | Dietitian, Registered | 6 Thirteenth Avenue East, Poslon, MT 59860 | 2014-08-13 |
| 1104255637 | Dacia Lee Antiste-fisher | Counselor | #5 4th Ave. E., Polson, MT 59860 | 2013-11-05 |
| 1154758134 | Richard Pierre | Pharmacy Technician | 5 4th Ave E., Polson, MT 59860 | 2013-10-04 |
| 1154755197 | Wal-mart Stores, Inc | Durable Medical Equipment & Medical Supplies | 36318 Memory Lane, Polson, MT 59860 | 2013-08-27 |
| 1245582022 | Catherine D Addison | Registered Nurse | 5 4th Ave. East, Polson, MT 59860 | 2012-10-04 |
| 1114220787 | Erika Ann Weber | Social Worker | #5 4th Ave. E, Polson, MT 59860 | 2010-12-21 |
| 1942431473 | Lisa L. Scalpane | Counselor | 803 Main Street, Suite C, Polson, MT 59860 | 2009-07-31 |
| Find all providers in zip 59860 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497266084 | Big Sky Therapy Associates, Pllp | Psychologist | 100 2nd St E Ste 322, Whitefish, MT 59937-2410 | 2017-10-23 |
| 1669900320 | Greg Machek | Psychologist | 2635 Valley View Dr, Missoula, MT 59803-2528 | 2017-05-25 |
| 1679812937 | Peterson Psychological Services, Inc | Psychologist | 18 N. 8th St, Miles City, MT 59301 | 2013-02-06 |
| 1295762193 | Dawn Marie Birk | Psychologist | 408 Water Ave., Colstrip, MT 59323-2425 | 2006-06-27 |
| 1336558394 | Julian Nolen | Psychologist | 800 E 6th Ave, Helena, MT 59601-4464 | 2014-08-04 |
| 1710251236 | Paul Silverman | Psychologist | 1444 Mansfield Ave, Missoula, MT 59812-0001 | 2012-03-01 |
Please comment or provide details below to improve the information on DR. VINCENT BRYAN RIVER.
| 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.