| Riverdale Mental Health Association Inc | |
|
5676 Riverdale Avenue Bronx NY 10471 | |
| (718) 796-5300 | |
| (718) 548-1161 |
| Full Name | Riverdale Mental Health Association Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 5676 Riverdale Avenue, Bronx, New York |
| Authorized Official Name and Position | Robert M. Brewster (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7187965300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverdale Mental Health Association Inc 5676 Riverdale Avenue Bronx NY 10471 Ph: (718) 796-5300 | Riverdale Mental Health Association Inc 5676 Riverdale Avenue Bronx NY 10471 Ph: (718) 796-5300 |
| NPI Number | 1174557409 |
|---|---|
| Provider Enumeration Date | 07/11/2006 |
| Last Update Date | 03/24/2015 |
| Medicare PECOS PAC ID | 3476444811 |
|---|---|
| Medicare Enrollment ID | O20040323002066 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174557409 | NPI | - | NPPES |
| Provider Name | James E Maxwell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740539436 PECOS PAC ID: 1052392156 Enrollment ID: I20040525001586 |
| Provider Name | Diane P Dallegro |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154381911 PECOS PAC ID: 9436195740 Enrollment ID: I20050707000863 |
| Provider Name | Ana Gil |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639223662 PECOS PAC ID: 6406959972 Enrollment ID: I20070321000575 |
| Provider Name | Alexandra Tate Whoriskey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649291972 PECOS PAC ID: 4284731209 Enrollment ID: I20070525000144 |
| Provider Name | Shelia G Rhodes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982762910 PECOS PAC ID: 2961593983 Enrollment ID: I20070806000631 |
| Provider Name | Allen I Prenner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043418395 PECOS PAC ID: 7810078250 Enrollment ID: I20080111000269 |
| Provider Name | Mayra Estrada |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053419077 PECOS PAC ID: 0749362077 Enrollment ID: I20080125000350 |
| Provider Name | Rhea L Segal Parson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639401276 PECOS PAC ID: 1254467368 Enrollment ID: I20100329000314 |
| Provider Name | Carlos D Bravo-gogny |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528154671 PECOS PAC ID: 3870622103 Enrollment ID: I20100525001045 |
| Provider Name | Julia E Stern |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154577096 PECOS PAC ID: 0648303016 Enrollment ID: I20100805000467 |
| Provider Name | Arlene Klingman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497770127 PECOS PAC ID: 7214125947 Enrollment ID: I20101222000695 |
| Provider Name | Gretchen K Mathewson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639494685 PECOS PAC ID: 2365693389 Enrollment ID: I20121121000011 |
| Provider Name | Rosemary Vassallo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235476532 PECOS PAC ID: 6305081175 Enrollment ID: I20130327000144 |
| Provider Name | Ruddy S Calderon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770848038 PECOS PAC ID: 2264668318 Enrollment ID: I20131119000601 |
| Provider Name | Thomas E Gonzalez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942622758 PECOS PAC ID: 3476784604 Enrollment ID: I20140401000574 |
| Provider Name | Shoshannah Pearlman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114368370 PECOS PAC ID: 9638302177 Enrollment ID: I20140507001049 |
| Provider Name | Claribel A Diaz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578652491 PECOS PAC ID: 7113247933 Enrollment ID: I20150519001671 |
| Provider Name | Richard A Silverman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114975091 PECOS PAC ID: 1951698166 Enrollment ID: I20160930001652 |
| Provider Name | Emily Rose Falber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467702001 PECOS PAC ID: 3779843750 Enrollment ID: I20180213000554 |
| Provider Name | Lissette Ramos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851631634 PECOS PAC ID: 0345504742 Enrollment ID: I20180511001576 |
| Provider Name | Micah B Engel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336611656 PECOS PAC ID: 8628308418 Enrollment ID: I20200422002514 |
| Provider Name | Claudio M Morel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962058974 PECOS PAC ID: 6901237015 Enrollment ID: I20200505001729 |
| Provider Name | Ru Yang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053891317 PECOS PAC ID: 8426388356 Enrollment ID: I20201211002277 |
| Provider Name | Opal Silvera Beckford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992080253 PECOS PAC ID: 5496066193 Enrollment ID: I20211217000842 |
| Provider Name | Meredith Greene Megaw |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174938724 PECOS PAC ID: 2163862236 Enrollment ID: I20240507000504 |
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