RIVERSEDGE PSYCHOLOGICAL SERVICES
NPI 1679319131
Psychologist - Clinical in Imperial, MO

Active since July 03, 2024
8 BURGUNDY CT, IMPERIAL, MO 63052(314) 853-6667 Get Directions Write a Review

NPPES record last updated: July 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Riversedge Psychological Services NPPES

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

RIVERSEDGE PSYCHOLOGICAL SERVICES (NPI 1679319131) is a healthcare organization registered as a clinical in Imperial, Missouri and active in the NPI registry since July 2024. The organization lists Jennifer Lynn Evans, Licensed Psychologist, as its authorized official.

NPPES Registry Identity

NPI1679319131
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameRIVERSEDGE PSYCHOLOGICAL SERVICES
Location Address8 BURGUNDY CTImperial, MO 63052-2098
Mailing AddressPo Box 793Imperial, MO 63052-0793 · (314) 853-6667
Organization SubpartNo
Authorized OfficialJennifer Lynn EvansLicensed Psychologist · (314) 853-6667
Enumeration DateJuly 3, 2024
NPPES CertifiedJuly 3, 2024
NPI 1679319131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
8 BURGUNDY CT, Imperial, MO 63052

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

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 Riversedge Psychological Services's NPI number?

The NPI number for Riversedge Psychological Services is 1679319131. It was assigned to this organization in the NPPES registry on July 3, 2024.

Where is Riversedge Psychological Services located?

Riversedge Psychological Services is located at 8 Burgundy Ct, Imperial, MO 63052. The listed phone number is (314) 853-6667.

What is Riversedge Psychological Services's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Riversedge Psychological Services was last updated on July 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.