Individual provider Active NPI

Nishbeth Gimar Rios Rivera, PSY.D

  • Clinical Psychologist
  • Arecibo, PR
National Provider Identifier
1194069567
Registry record updated Jul 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4328 Issued in PR
Practice address
238 La Represa
Arecibo, PR 00612-6913
Phone
(787) 566-3499
NPI assigned
Nov 24, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 4328 PR Primary

Addresses

Primary practice location

238 La Represa
Arecibo, PR 00612-6913

Mailing address

238 La Represa
Arecibo, PR 00612-6913
Phone (787) 925-5511

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130528000606 PR Practitioner - Clinical Psychologist 0941448245 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4328PRMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Camuy Health Services, Inc. CurrentSince Oct 22, 2023 Accepting new patients
Camuy Health Services, Inc. CurrentSince Oct 22, 2023 Accepting new patients

Locations

63 Ave Munoz Rivera E
Camuy, PR 00627
Phone (787) 262-6603

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.

NPI Registry JSON

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

{
    "created_epoch": "1353715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532044800000",
    "number": "1194069567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 LA REPRESA",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006126913",
            "telephone_number": "787-925-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 LA REPRESA",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006126913",
            "telephone_number": "787-566-3499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIOS RIVERA",
        "first_name": "NISHBETH",
        "middle_name": "GIMAR",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-24",
        "last_updated": "2018-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "4328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arecibo, PR

Sources for this page

Verify at the official NPI Registry.