Active NPI
Rivera Villegas Psychological Services, PLLC
- Clinical Psychologist
- New York, NY
National Provider Identifier
1154145142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- RIVERA VILLEGAS PSYCHOLOGICAL SERVICES, PLLC
- Practice address
- 242 W 30TH St FL 6
New York, NY 10001-0695 - Phone
- (929) 487-5631
- NPI assigned
- Nov 14, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Carlos Enrique Rivera Villegas, PHD
- Title
- Owner
- Phone
- (718) 304-6966
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Psychologist | 103TC0700X | Primary | ||
| Clinical Social Worker | 1041C0700X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X |
Addresses
Primary practice location
242 W 30TH St FL 6
New York, NY 10001-0695
Mailing address
61 Martense St Apt 6B
Brooklyn, NY 11226-3235
Phone (718) 304-6966
Other names 1
- New England Center for OCD and Anxiety New York
National Provider Directory
National Provider DirectoryLocations
242 W 30th St
Fl 6
New York, NY 10001
Phone (929) 487-5631
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Brooklyn, NY
- NPI 1457695090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731542400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731542400000",
"number": "1154145142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 MARTENSE ST APT 6B",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112263235",
"telephone_number": "718-304-6966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "242 W 30TH ST FL 6",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100010695",
"telephone_number": "929-487-5631"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVERA VILLEGAS PSYCHOLOGICAL SERVICES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-14",
"last_updated": "2024-11-14",
"certification_date": "2024-11-14",
"status": "A",
"authorized_official_last_name": "RIVERA VILLEGAS",
"authorized_official_first_name": "CARLOS",
"authorized_official_middle_name": "ENRIQUE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-304-6966",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "New England Center for OCD and Anxiety New York",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in New York, NY
- Mariola Rivera Morell, DPM
- Carla Fabiola Rivera Perez, MD
- Migdalis Rivera Rosado, M.D.
- Luis Gabriel Rivera Sanchez, M.D.
- Marlene Rivera Sotomayor, DMD
- Mary L Rivera-Casamento, MD
- Melissa Cenona Rivera-Llaguno, LMSW
- Antonio Rivera-Lopez, PHARMD
- Camila M. Rivera-Morales, PHD
- Joselin Isa Rivera-Rodriguez
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.