| Riverside Psychotherapy Associates, Inc. | |
|
79 Park Ln Folsom LA 70437-7721 | |
| (985) 718-9110 | |
| Not Available |
| Full Name | Riverside Psychotherapy Associates, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 79 Park Ln, Folsom, Louisiana |
| Authorized Official Name and Position | Patricia Knaack (ADMINISTRATOR) |
| Authorized Official Contact | 9857189110 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverside Psychotherapy Associates, Inc. 79 Park Ln Folsom LA 70437-7721 Ph: (985) 718-9110 | Riverside Psychotherapy Associates, Inc. 79 Park Ln Folsom LA 70437-7721 Ph: (985) 718-9110 |
| NPI Number | 1578569422 |
|---|---|
| Provider Enumeration Date | 06/24/2005 |
| Last Update Date | 08/30/2023 |
| Certification Date | 08/30/2023 |
| Medicare PECOS PAC ID | 1254356611 |
|---|---|
| Medicare Enrollment ID | O20051014000074 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578569422 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 570 (Louisiana) | Primary |
| Provider Name | Richard A Blocker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447256391 PECOS PAC ID: 0244255602 Enrollment ID: I20110217000453 |
Psychotherapy & Wellness Group Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 390 Village Farms Ln, Folsom, LA 70437 Phone: 985-796-7006 Fax: 985-235-0086 | |
S2b Wellness, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13196 Stonelake Dr, Folsom, LA 70437 Phone: 985-630-1744 |