| Riverview Community Mental Health Center Llc | |
|
865 Se Monterey Commons Blvd Stuart FL 34996-3337 | |
| (772) 266-4713 | |
| (772) 872-6235 |
| Full Name | Riverview Community Mental Health Center Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 865 Se Monterey Commons Blvd, Stuart, Florida |
| Authorized Official Name and Position | Gerardo F Olivera (OWNER) |
| Authorized Official Contact | 7722664713 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverview Community Mental Health Center Llc 865 Se Monterey Commons Blvd Stuart FL 34996-3337 Ph: (772) 266-4713 | Riverview Community Mental Health Center Llc 865 Se Monterey Commons Blvd Stuart FL 34996-3337 Ph: (772) 266-4713 |
| NPI Number | 1700203601 |
|---|---|
| Provider Enumeration Date | 03/28/2014 |
| Last Update Date | 01/18/2021 |
| Certification Date | 01/18/2021 |
| Medicare PECOS PAC ID | 8729206636 |
|---|---|
| Medicare Enrollment ID | O20160401000818 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700203601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Nancy A Coppola |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760517668 PECOS PAC ID: 4082686522 Enrollment ID: I20040806000362 |
| Provider Name | Gerardo F Olivera |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245250505 PECOS PAC ID: 2567497258 Enrollment ID: I20050930000654 |
| Provider Name | Andrea J Briner-johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326460775 PECOS PAC ID: 9436473618 Enrollment ID: I20150116000550 |
| Provider Name | Gale E Belanger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881140671 PECOS PAC ID: 5890073704 Enrollment ID: I20161027002237 |
| Provider Name | Rose L Calixte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750851861 PECOS PAC ID: 1557754843 Enrollment ID: I20220209001454 |
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