Provider Demographics
NPI:1639494909
Name:RITER, JAMES ARTHUR (LCSW)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:ARTHUR
Last Name:RITER
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:650 MADISON ST
Mailing Address - Street 2:HUTCHINGS PSYCHIATRIC CENTER - MADISON ST. CLINIC
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13210-2319
Mailing Address - Country:US
Mailing Address - Phone:315-426-7686
Mailing Address - Fax:315-426-7793
Practice Address - Street 1:650 MADISON ST
Practice Address - Street 2:HUTCHINGS PSYCHIATRIC CENTER - MADISON ST. CLINIC
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13210-2319
Practice Address - Country:US
Practice Address - Phone:315-426-7686
Practice Address - Fax:315-426-7793
Is Sole Proprietor?:No
Enumeration Date:2010-03-30
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY064153104100000X
NY0803551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker