Organization Active NPI

Duarji M Rivas, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • South Deerfield, MA
National Provider Identifier
1093603664
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
DUARJI M RIVAS, LLC
Practice address
69 Hillside Rd Apt a
South Deerfield, MA 01373-9710
Phone
(413) 330-5369
NPI assigned
Jun 24, 2025
Last updated
Jul 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Authorized official

Name
Duarji Rivas, MSWNPI 1073795415
Title
Owner/President
Phone
(413) 330-5369

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

69 Hillside Rd Apt a
South Deerfield, MA 01373-9710

Mailing address

69 Hillside Rd Apt a
South Deerfield, MA 01373-9710
Phone (413) 330-5369

Other identifiers 1

IdentifierTypeStateIssuer
1073795415MedicaidMA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1750723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751328000000",
    "number": "1093603664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 HILLSIDE RD APT A",
            "city": "SOUTH DEERFIELD",
            "state": "MA",
            "postal_code": "013739710",
            "telephone_number": "413-330-5369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 HILLSIDE RD APT A",
            "city": "SOUTH DEERFIELD",
            "state": "MA",
            "postal_code": "013739710",
            "telephone_number": "413-330-5369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUARJI M RIVAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-24",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A",
        "authorized_official_last_name": "RIVAS",
        "authorized_official_first_name": "DUARJI",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "413-330-5369",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073795415",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Deerfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; 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.