Healthcare Provider Details

I. General information

NPI: 1487571469
Provider Name (Legal Business Name): RIVERSIDE PSYCHIATRY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 WARREN ST UNIT 331
MANKATO MN
56001-3762
US

IV. Provider business mailing address

100 WARREN ST UNIT 331
MANKATO MN
56001-3762
US

V. Phone/Fax

Practice location:
  • Phone: 507-344-3131
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: RACHEL LORRAINE KNOBLICH
Title or Position: OWNER
Credential: DNP, APRN, PMHNP-BC
Phone: 507-381-0454