Riverdale Behavioral Health, Pc in Collierville - Psychiatry

Riverdale Behavioral Health, Pc - NPI 1912171489

Riverdale Behavioral Health, Pc is a Psychiatry in Collierville, Tennessee. Riverdale Behavioral Health, Pc practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Riverdale Behavioral Health, Pc is 1912171489. The last update date is 2010-07-27.

Riverdale Behavioral Health, Pc's current location address is 4700 White Pass Dr, Collierville, Tennessee. You can contact this provider via phone number 9013852342 and fax number 9013820140. The mailing address for Riverdale Behavioral Health, Pc is 4700 White Pass Dr, Collierville, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Organization Riverdale Behavioral Health, Pc
Address 4700 White Pass Dr, Collierville, Tennessee
Phone Number 9013852342
Fax Number 9013820140
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PSYCHITRIS
Authorized Official Name Akinwumiju Olaniyi Olayinka
Credentials M.D.
Telephone Number 9013852342

NPI Number Detail

NPI Number 1912171489
Provider Enumeration Date 2008-04-16
Last Updated Date 2010-07-27

Provider Mailing Address Detail

Address 4700 White Pass Dr
City Collierville
State Tennessee (TN)
Post Code 380173462
Phone Number 9013852342
Fax Number 9013820140

Provider's Primary Taxonomy Detail

Speciality Psychiatry
Taxonomy 2084P0800X
Licence No 16950
Definition:
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7686515 MS --
6729219 MS --

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FAQs about Riverdale Behavioral Health, Pc

What is the unique provider identifier assigned to Riverdale Behavioral Health, Pc?

The Riverdale Behavioral Health, Pc has been issued the NPI (National Provider Identifier) 1912171489 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Riverdale Behavioral Health, Pc is physically located?

The Riverdale Behavioral Health, Pc is physically situated at the following address: 4700 White Pass Dr, Collierville, TN, 380173462.

What is the Riverdale Behavioral Health, Pc's specialty and taxonomy code?

The Riverdale Behavioral Health, Pc's specialty is Psychiatry, and the corresponding taxonomy code is 2084P0800X.

On what date did Riverdale Behavioral Health, Pc receive its 1912171489 assignment from the Centers for Medicare & Medicaid Services?

The Riverdale Behavioral Health, Pc was assigned its 1912171489 on 2008-04-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Riverdale Behavioral Health, Pc's details last updated?

The information pertaining to the Riverdale Behavioral Health, Pc, including its address, specialty, and other details, was most recently updated on 2010-07-27.

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