Kathy Rivera, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

41260 Issued in AZ

Practice address

7400 S Power Rd Ste 126
Gilbert, AZ 85297-9283

Phone

(480) 482-7350

Fax

(480) 482-7370

NPI assigned

Aug 15, 2006

Last updated

Jan 4, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Mingus Mountain Estate Residencial Center, Inc.

  dba Casa Grande Academy

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Casa Grande, AZ
  • NPI 1891324711
  NPD (past)
• Mingus Mountain Estate Residential Center Inc

  • Assisted Living Facility (Behavioral Disturbances)
  • Dewey, AZ
  • NPI 1114090925
  NPD (past)
• Mingus Mountain Estate Residential Center Inc

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Prescott Valley, AZ
  • NPI 1356358519
  NPD (past)
• Mingus Mountain Estate Residential Center Inc

  • Assisted Living Facility (Behavioral Disturbances)
  • Prescott Valley, AZ
  • NPI 1497828503
  NPD (past)

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1174636203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4531 N 16TH ST STE 114",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850165344",
            "telephone_number": "602-266-8700",
            "fax_number": "602-296-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 S POWER RD STE 126",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852979283",
            "telephone_number": "480-482-7350",
            "fax_number": "480-482-7370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2450 E Guadalupe Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852345116",
            "country_code": "US",
            "telephone_number": "480-907-6818",
            "fax_number": "480-907-5181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "KATHY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "41260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenifer Rittenhouse
• Chante Rittenour
• Katrina Ritter
• Mercedes Carmen Rivas
• Carlos Francisco Rivera
• Marcel E Rivera, MS
• Saleh Riyad
• Brittany Rizzo
• Jenifer Ann Rizzo
• Ali M Rkein, M.D.

• Psychiatry Physician in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Psychiatry Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.