Ydalith G Rivera-Perez, LP, PA-C

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

38335 Issued in TX

Practice address

16225 Park Ten PL Ste 500
Houston, TX 77084-5152

Phone

(281) 524-3894

NPI assigned

Jul 28, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1023022647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8611 E WINDHAVEN TERRACE TRL",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774332751",
            "telephone_number": "281-844-0161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16225 PARK TEN PL STE 500",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770845152",
            "telephone_number": "281-524-3894"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9401 Southwest Fwy",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770741407",
            "country_code": "US",
            "telephone_number": "713-755-7241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA-PEREZ",
        "first_name": "YDALITH",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "LP, PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA2105",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "38335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrya Rene Rivera-Burciaga, RN, MSN, FNP-BC
• Diana Alicia Rivera-Maldonado, MASSAGE THERPIST
• Idalia R Rivera-Matos, MD
• Hiram Rivera-Mercado, PSYD
• Norma M. Rivera-Opio, M.D.
• Jovian Rivera-Santiago
• Alejandro Xavier Rivera, D.C.
• Amelia Vazquez Rivera, LCSW
• Amephi Mayol Rivera
• Angelica Rivera, PT

• Clinical Psychologist in Houston, TX
• Providers in Houston, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.