Individual provider Active NPI

Paola M. Rivera-Torres, PSY.D.

  • Psychologist
  • New York, NY
National Provider Identifier
1124570759
Registry record updated Jan 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
022538 Issued in NY
Practice address
540 E 13TH St
New York, NY 10009-3519
Phone
(212) 387-8299
Fax
(212) 387-7432
NPI assigned
Oct 31, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Psychologist 103T00000X 022538 NY Primary

Addresses

Primary practice location

540 E 13TH St
New York, NY 10009-3519

Mailing address

540 E 13TH St
New York, NY 10009-3519
Phone (212) 387-8299

Other practice location 1

300 Crittenden Blvd
Rochester, NY 14642
Phone (585) 275-3563

Other identifiers 1

IdentifierTypeStateIssuer
1124570759MedicaidNY

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
I20240213004498 PR Practitioner - Clinical Psychologist 1850640905 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
022538NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centro de Salud Familiar Dr. Julio Palmieri Ferri Inc. Current Accepting new patients
Centro de Salud Familiar Dr. Julio Palmieri Ferri Inc. CurrentSince Feb 9, 2024 Accepting new patients

Locations

46 Calle Morse
Arroyo, PR 00714

Organizations & group practices 2

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": "1477872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547424000000",
    "number": "1124570759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 E 13TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100093519",
            "telephone_number": "212-387-8299",
            "fax_number": "212-387-7432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 E 13TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100093519",
            "telephone_number": "212-387-8299",
            "fax_number": "212-387-7432"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Crittenden Blvd",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "14642",
            "country_code": "US",
            "telephone_number": "585-275-3563",
            "fax_number": "585-276-2292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA-TORRES",
        "first_name": "PAOLA",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-31",
        "last_updated": "2019-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "022538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124570759",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.