RIVEREDGE HOSPITAL INC. NPI 1164886354

NPI Information

NPI: 1164886354
Provider Name: RIVEREDGE HOSPITAL, INC.

Doing Business As: RIVEREDGE OUTPATIENT CLINIC

Classification: Psychiatric Hospital - 283Q00000X
Entity Type: Organization

Address:
8311 ROOSEVELT RD
FOREST PARK, IL
ZIP 60130
Phone: (708) 771-7000
Get Directions

RIVEREDGE HOSPITAL, INC. is a psychiatric hospital in Forest Park, IL. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. RIVEREDGE HOSPITAL, INC. NPI is 1164886354. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Riveredge Outpatient Clinic.

The provider's business location address is:

8311 ROOSEVELT RD
FOREST PARK, IL
ZIP 60130-529
Phone: (708) 771-7000

The provider's authorized official is Steve Filton .
The authorized official title is Sr Vp/cfo and has the following contact phone number (610) 768-3300.

The CLIA number assigned to this NPI record is 14D0943057 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/13/2016 and was last updated on 4/13/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103T00000X	Psychologist		0005124	ILLINOIS	No
2	103TB0200X	Psychologist	Cognitive & Behavioral	0005124	ILLINOIS	No
3	103TC0700X	Psychologist	Clinical	0005124	ILLINOIS	No
4	103TC1900X	Psychologist	Counseling	0005124	ILLINOIS	No
5	103TC2200X	Psychologist	Clinical Child & Adolescent	0005124	ILLINOIS	No
6	103TF0000X	Psychologist	Family	0005124	ILLINOIS	No
7	103TP0016X	Psychologist	Prescribing (Medical)	0005124	ILLINOIS	No
8	103TP2701X	Psychologist	Group Psychotherapy	0005124	ILLINOIS	No
9	2084N0600X	Psychiatry & Neurology	Clinical Neurophysiology	0005124	ILLINOIS	No
10	2084P0800X	Psychiatry & Neurology	Psychiatry	0005124	ILLINOIS	No
11	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	0005154	ILLINOIS	No
12	283Q00000X	Psychiatric Hospital		0005124	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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