Healthcare Provider Details

I. General information

NPI: 1689504979
Provider Name (Legal Business Name): RIVERDALE MENTAL HEALTH ASSOCIATION INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

640 W 232ND STREET
BRONX NY
10463
US

IV. Provider business mailing address

521 W 231ST STREET
BRONX NY
10463
US

V. Phone/Fax

Practice location:
  • Phone: 718-884-2992
  • Fax:
Mailing address:
  • Phone: 718-796-5300
  • Fax: 718-548-1161

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: DONNA FRIEDMAN
Title or Position: EXECUTIVE DIRECTOR
Credential: PHD
Phone: 718-796-5300