Organization Active NPI

Riccardo B Rivas PH.D.,PA

  • Psychologist
  • Naples, FL
National Provider Identifier
1215077763
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY 3708 Issued in FL
Legal business name
RICCARDO B RIVAS PH.D.,PA
Practice address
3435 10TH St N
Suite 303
Naples, FL 34103-3815
Phone
(239) 434-2150
Fax
(239) 649-5051
NPI assigned
Feb 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Riccardo B Rivas, PH.D.
Title
President
Phone
(239) 434-2150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PY 3708 FL Primary

Addresses

Primary practice location

3435 10TH St N
Suite 303
Naples, FL 34103-3815

Mailing address

3435 10TH St N
Suite 303
Naples, FL 34103-3815
Phone (239) 434-2150

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215077763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 10TH ST N",
            "address_2": "SUITE 303",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341033815",
            "telephone_number": "239-434-2150",
            "fax_number": "239-649-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 10TH ST N",
            "address_2": "SUITE 303",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341033815",
            "telephone_number": "239-434-2150",
            "fax_number": "239-649-5051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICCARDO B RIVAS PH.D.,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIVAS",
        "authorized_official_first_name": "RICCARDO",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-434-2150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY 3708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.