RIVERSIDE PSYCHIATRIC SERVICES PLLC
NPI 1114761186
Nurse Practitioner - Psychiatric/Mental Health in Grand Rapids, MI

Active since June 24, 2024
2180 44TH ST SE STE 107, GRAND RAPIDS, MI 49508(616) 425-9666 Get Directions Write a Review

NPPES record last updated: May 14, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 14, 2025, Jun 24, 2024 (2 updates tracked since 2024).

About Riverside Psychiatric Services Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RIVERSIDE PSYCHIATRIC SERVICES PLLC (NPI 1114761186) is a healthcare organization registered as a psychiatric/mental health in Grand Rapids, Michigan and active in the NPI registry since June 2024. The organization lists Godfrey Abuya, Manager, as its authorized official.

NPPES Registry Identity

NPI1114761186
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameRIVERSIDE PSYCHIATRIC SERVICES PLLC
Location Address2180 44TH ST SE STE 107Grand Rapids, MI 49508-5305
Mailing Address5082 Breezefield Dr SeGrand Rapids, MI 49512-9520 · (616) 334-0011
Organization SubpartNo
Authorized OfficialGodfrey AbuyaManager · (616) 334-0011
Enumeration DateJune 24, 2024
Last NPPES UpdateMay 14, 20252 updates tracked since enumeration
NPPES CertifiedMay 14, 2025
NPI 1114761186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
2180 44TH ST SE STE 107, Grand Rapids, MI 49508

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
2180 44TH ST SE STE 107
KENTWOOD, MI 49508

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Riverside Psychiatric Services PLLC's NPI number?

The NPI number for Riverside Psychiatric Services PLLC is 1114761186. It was assigned to this organization in the NPPES registry on June 24, 2024.

Where is Riverside Psychiatric Services PLLC located?

Riverside Psychiatric Services PLLC is located at 2180 44th St SE Ste 107, Grand Rapids, MI 49508. The listed phone number is (616) 425-9666.

What is Riverside Psychiatric Services PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

What insurance does Riverside Psychiatric Services PLLC accept?

Health plans from Blue Care Network of Michigan list Riverside Psychiatric Services PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Riverside Psychiatric Services PLLC was last updated on May 14, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.