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General NPI Number Information
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NPI Number | 1558175679
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Entity Type | Organization
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Legal Business Name | RIVERSIDE PSYCHIATRY LLC
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Dates
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Enumeration Date | 02/07/2025
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 1129 RIVERDALE ST # 1026
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City | WEST SPRINGFIELD
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State | MA
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Zip | 01089-4615
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Country | US
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Telephone | 413-707-4962
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Fax |
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Provider Business Mailing Address
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Address Line | 1129 RIVERDALE ST # 1026
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City | WEST SPRINGFIELD
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State | MA
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Zip | 01089-4615
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/PMHNP-BC
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Name | DANIELLE LAMAGNA
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Credential | PMHNP-BC
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Telephone | 413-348-4926
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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