Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Riverside Psychiatric Group Sc

Psychiatry Physician in De Pere, WI · enumerated 2007 · authorized official Howard Davis, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1154520203

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Registry record

Entity type Organization (Type 2)

Legal business name Riverside Psychiatric Group Sc

Practice address 1325 Angels Path Rd, De Pere, WI, 54115

Phone (920) 338-2855

Fax (920) 338-9270

Enumeration date Jul 17, 2007

Last updated in NPPES Jan 14, 2009

Taxonomy & classification

101YA0400X Addiction (Substance Use Disorder) Counselor Behavioral Health & Social Service Providers Secondary

101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers Secondary

101YP2500X Professional Counselor Behavioral Health & Social Service Providers Secondary

103T00000X Psychologist Behavioral Health & Social Service Providers Secondary

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers Secondary

106H00000X Marriage & Family Therapist Behavioral Health & Social Service Providers Secondary

2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians Primary

2084P0804X Child & Adolescent Psychiatry Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name Howard Davis

Title President

Phone (920) 338-2800

Other identifiers

Identifier	Type	State	Issuer
32884100	Medicaid	WI	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2009-01-14. Verify at npiregistry.cms.hhs.gov.

Where is Riverside Psychiatric Group Sc located?

The practice location on file with NPPES is in De Pere, WI.

Providers at this address

Browse all →

Mark Eklund Clinical Social Worker · De Pere, WI NPI 1124030770 John Stamm Psychiatry Physician · De Pere, WI NPI 1710999487 Chris Larson Psychiatry Physician · De Pere, WI NPI 1972515658 Charles Groves Psychologist · De Pere, WI NPI 1548272891 Carole St.Laurent-Groves Professional Counselor · De Pere, WI NPI 1023020377

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-01-14.