Rivera Behavioral Health PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

RIVERA BEHAVIORAL HEALTH PLLC

Practice address

12915 Jones Maltsberger Rd Ste 300
San Antonio, TX 78247-4255

Phone

(210) 802-7759

NPI assigned

Jan 5, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Krystle Rivera, PH.D.NPI 1679998215

Title

Owner/Operator

Phone

(210) 802-7759

Specialties & licenses 1

Addresses

Other names 1

• Rivera Behavioral Health Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

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

• Krystle Rivera, PH.D.

  • Counselor
  • La Jolla, CA
  • NPI 1679998215

  TX

  Medicare reassignment NPD Authorized official
• Mark B Harris, LCSW

  • Clinical Social Worker
  • San Antonio, TX
  • NPI 1073679890
  NPD (past)

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

{
    "created_epoch": "1704412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1083484596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 701413",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782701413",
            "telephone_number": "210-802-7759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12915 JONES MALTSBERGER RD STE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782474255",
            "telephone_number": "210-802-7759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERA BEHAVIORAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-05",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "KRYSTLE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "210-802-7759",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rivera Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• River City Pain Management, PLLC
• River City Pediatric Emergency Physicians, PLLC
• River City Rehabiliation Center, Inc.
• River Medical Pharmacy, LLC
• Helena Rivera Bali, CFY-SLP
• Rivera Counseling & Associates PLLC
• Diana Rivera Espino
• Esther A Rivera Gambaro, M.D.
• Edgardo Rivera Lopez, PT, DPT, CSCS
• Miriam Sugei Rivera Lopez

• Clinical Psychologist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.