Jessica Esther Rivera, PSY.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PY8359 Issued in FL

Practice address

14601 Hotel Road
Suite 101B
Miramar, FL 33027-4711

Phone

(954) 933-8299

Fax

(786) 345-0776

NPI assigned

Aug 29, 2011

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

Enrolled in FL

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

Specialty

Clinical Psychologist

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Whole Again Neuropsychology Center Inc

  • Clinical Neuropsychologist
  • Miramar, FL
  • NPI 1265709521
  Medicare reassignment Authorized official
• Whole Again Institute for Wellness

  • Psychologist
  • Miramar, FL
  • NPI 1003212093
  NPD Authorized official
• Whole Again Instute for Wellness, Inc

  • Psychologist
  • Miramar, FL
  • NPI 1447519418
  NPD Authorized official

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

{
    "created_epoch": "1314576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574121600000",
    "number": "1114207644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14601 SW 29TH ST",
            "address_2": "SUITE 101 B",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330274714",
            "telephone_number": "305-582-8809",
            "fax_number": "786-345-0776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14601 HOTEL ROAD",
            "address_2": "SUITE 101B",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330274711",
            "telephone_number": "954-933-8299",
            "fax_number": "786-345-0776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "JESSICA",
        "middle_name": "ESTHER",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-29",
        "last_updated": "2019-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY8359",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY8359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roberto Javier Rivera Perez
• Carlos Alfonso Rivera, COUNSELOR
• Charlene Rivera, FNP-C
• Denise Rivera
• Felipe Rivera, L.M.T
• Samuel Adolfo Rivera
• Sara Rivera
• Veronica Rivera
• Isamara Rivero Garcia
• Rivero Group Homes 6

• Clinical Neuropsychologist in Miramar, FL
• Providers in Miramar, FL by specialty
• Clinical Neuropsychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.