Active NPI
Ananda Hernandez Rivera, PSYD
- Clinical Psychologist
- Windsor, CT
National Provider Identifier
1174819783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3433
- Practice address
- 360 Bloomfield Ave Ste 301
Windsor, CT 06095-2700 - Phone
- (860) 940-0686
- NPI assigned
- Jun 22, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 3433 | CT | Primary |
Addresses
Primary practice location
360 Bloomfield Ave Ste 301
Windsor, CT 06095-2700
Mailing address
360 Bloomfield Ave Ste 301
Windsor, CT 06095-2700
Phone (860) 940-0686
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004235918 | Medicaid | CT |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Karuna Psychological Services, LLC | Clinical | Current | Accepting new patients |
Organizations & group practices 1
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": "1308700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712016000000",
"number": "1174819783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 BLOOMFIELD AVE STE 301",
"city": "WINDSOR",
"state": "CT",
"postal_code": "060952700",
"telephone_number": "860-940-0686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 BLOOMFIELD AVE STE 301",
"city": "WINDSOR",
"state": "CT",
"postal_code": "060952700",
"telephone_number": "860-940-0686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ RIVERA",
"first_name": "ANANDA",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-22",
"last_updated": "2024-04-02",
"certification_date": "2024-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CT",
"license": "3433",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004235918",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Windsor, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.