Integrated Mental Health Group

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2797 Issued in PR

Legal business name

INTEGRATED MENTAL HEALTH GROUP

Practice address

Carretera 693 KM 13.8 Edificio Brisas del Mar
Bo Sabana
Vega Alta, PR 00692

Phone

(787) 604-0186

NPI assigned

Feb 11, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Gerardo R Rivera, PSY.D.NPI 1225190291

Title

Presidente

Phone

(787) 462-0969

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gerardo R. Rivera, PSY.D.

  • Clinical Psychologist
  • Guaynabo, PR
  • NPI 1225190291
  NPD (past) Authorized official

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

{
    "created_epoch": "1423612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423612800000",
    "number": "1063803187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 CAMINO LOS AQUINOS",
            "address_2": "APARTAMENTO 178",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009767901",
            "telephone_number": "787-462-0969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 693 KM 13.8 EDIFICIO BRISAS DEL MAR",
            "address_2": "BO SABANA",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "00692",
            "telephone_number": "787-604-0186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED MENTAL HEALTH GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-11",
        "last_updated": "2015-02-11",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "GERARDO",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-462-0969",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "2797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Vega Alta, PR
• Providers in Vega Alta, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; 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.