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Riverside Psychiatric Services PLLC

NPI 1114761186ActiveOrganization· Nurse Practitioner, Psych/Mental Health· Grand Rapids, MI

Nurse Practitioner, Psych/Mental Health in Grand Rapids, Michigan, registered in NPPES in June 2024. The authorized official on file is Godfrey Abuya, PMHNP, Manager.

Overview

NPI1114761186
StatusActive
Entity typeOrganization
NPI issuedJun 24, 2024
Last updated in NPPESMay 14, 2025
Certified by providerMay 14, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner, Psych/Mental Health Primary363LP0808X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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