Active NPI
Paola M. Rivera-Torres, PSY.D.
- Psychologist
- New York, NY
National Provider Identifier
1124570759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 022538
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124570759 | Medicaid | NY |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022538 | NY | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro de Salud Familiar Dr. Julio Palmieri Ferri Inc. | Current | Accepting new patients | |
| Centro de Salud Familiar Dr. Julio Palmieri Ferri Inc. | Current | 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.
-
- Primary Care Clinic/Center
- Arroyo, PR
- NPI 1548373293
-
- Clinical Medical Laboratory
- Arroyo, PR
- NPI 1366695595
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.