Individual provider Active NPI

Amalyn Perez Rivera, PSY.D.

  • Clinical Psychologist
  • Toa Alta, PR
National Provider Identifier
1053563817
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2583 Issued in PR
Practice address
500 Carr 861
Ste 6 PMB 148
Toa Alta, PR 00953-7968
Phone
(939) 644-1500
NPI assigned
Oct 10, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2583 PR Primary

Addresses

Primary practice location

500 Carr 861
Ste 6 PMB 148
Toa Alta, PR 00953-7968

Mailing address

500 Carr 861
Ste 6 PMB 148
Toa Alta, PR 00953-7968
Phone (939) 644-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161103000686 PR Practitioner - Clinical Psychologist 3476831918 Practice locations: Bayamon, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Apr Mental Health, LLC Clinical CurrentSince Nov 7, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1223596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1053563817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CARR 861",
            "address_2": "STE 6 PMB 148",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009537968",
            "telephone_number": "939-644-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CARR 861",
            "address_2": "STE 6 PMB 148",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009537968",
            "telephone_number": "939-644-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ RIVERA",
        "first_name": "AMALYN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-10",
        "last_updated": "2025-07-10",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "2583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toa Alta, PR

Sources for this page

Verify at the official NPI Registry.