Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Riverside Psychiatric Group SC

Organization Addiction (Substance Use Disorder) Counselor · NPI 1154520203

Riverside Psychiatric Group SC is an Addiction (Substance Use Disorder) Counselor in De Pere, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007
Specialties on file
8

Practice location Address checks out

1325 Angels Path Rd
De Pere, WI 54115-4050
Phone: (920) 338-2855
Fax: (920) 338-9270
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X (WI)
Mental Health Counselor Taxonomy 101YM0800X
Professional Counselor Taxonomy 101YP2500X (WI)
Psychologist Taxonomy 103T00000X (WI)
Clinical Social Worker Taxonomy 1041C0700X (WI)
Marriage & Family Therapist Taxonomy 106H00000X (WI)
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X (WI)

Record details

NPI number1154520203
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Howard Davis — President · (920) 338-2800
NPI enumeratedJuly 17, 2007
Last updated in NPPESJanuary 14, 2009
Mailing address1325 Angels Path Rd, De Pere, WI 54115-4050

Other providers in De Pere