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Organization
RIVERSIDE PSYCHIATRIC HEALTH
Active
Organization
RIVERSIDE PSYCHIATRIC HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA MARIE CODY PMHNP-BC (MANAGING MEMBER)
(908) 505-8717
Entity
Organization
Contact information
Practice address
42 OLD TPKE, OLDWICK, NJ 08858-7001
(908) 505-8717
Mailing address
PO BOX 84, UPPER BLACK EDDY, PA 18972-0084
(908) 505-8717
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/18/2026
Last updated
08/18/2026
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