Active NPI
Victoria Athena Rivera, MD
- Psychiatry Physician
- New Paltz, NY
National Provider Identifier
1174614382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD143723
- Practice address
- 201 South Ave
A C C E S S Inc Suite 306
New Paltz, NY 12561 - Phone
- (845) 255-3474
- Fax
- (845) 255-0104
- NPI assigned
- Sep 27, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD143723 | NY | Primary |
Addresses
Primary practice location
201 South Ave
A C C E S S Inc Suite 306
New Paltz, NY 12561
Mailing address
PO Box 725
A C C E S S Inc
New Paltz, NY 12561
Phone (845) 255-3474
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11505402 | Other | CAQH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD143723 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Assoc Counselors and Consultants on Employee SVC Systems Inc | Past | Accepting new patients | |
| National Neighborhood Counseling Center Inc | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba ACCESS Inc
- Social Worker
- New Paltz, NY
- NPI 1003907205
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Brooklyn, NY
- NPI 1457352098
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174614382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 725",
"address_2": "A C C E S S INC",
"city": "NEW PALTZ",
"state": "NY",
"postal_code": "12561",
"telephone_number": "845-255-3474",
"fax_number": "845-255-0104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 SOUTH AVE",
"address_2": "A C C E S S INC SUITE 306",
"city": "NEW PALTZ",
"state": "NY",
"postal_code": "12561",
"telephone_number": "845-255-3474",
"fax_number": "845-255-0104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "VICTORIA",
"middle_name": "ATHENA",
"name_prefix": "Ms.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "MD143723",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11505402",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Paltz, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.