Provider Demographics
NPI:1225083538
Name:RIVERPOINT PSYCHIATRIC ASSOCS INC
Entity Type:Organization
Organization Name:RIVERPOINT PSYCHIATRIC ASSOCS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BURT
Authorized Official - Middle Name:A
Authorized Official - Last Name:SEGAL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:757-489-4700
Mailing Address - Street 1:155 KINGSLEY LN
Mailing Address - Street 2:SUITE 320
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23505-4629
Mailing Address - Country:US
Mailing Address - Phone:757-489-4700
Mailing Address - Fax:757-489-0240
Practice Address - Street 1:155 KINGSLEY LN
Practice Address - Street 2:SUITE 320
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23505-4629
Practice Address - Country:US
Practice Address - Phone:757-489-4700
Practice Address - Fax:757-489-0240
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-24
Last Update Date:2017-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040007911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAC02798Medicare UPIN