Individual provider Active NPI

Emily M Rivera

  • Psychiatric/Mental Health Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1215528807
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1023054 Issued in TX
Practice address
48 Medical Park Dr E Ste 453
Birmingham, AL 35235-3472
Phone
(205) 831-9783
NPI assigned
Jan 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1023054 TX Primary

Addresses

Primary practice location

48 Medical Park Dr E Ste 453
Birmingham, AL 35235-3472

Mailing address

3645 Crestside Rd
Mountain BRK, AL 35223-1564
Phone (214) 546-3715

Other practice location 1

7877 Willow Chase Blvd
Houston, TX 77070-5934
Phone (832) 869-4818

Other identifiers 1

IdentifierTypeStateIssuer
495922308MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250130004092 TX Practitioner - Nurse Practitioner 9032648399 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychiatry of Texas PLLCGroup PAC ID 0345573598, 418 clinicians

Practice addresses (Care Compare)

12221 Merit Dr
Suite 450
Dallas, TX 75251-2294
Phone (832) 869-4818

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1023054TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatry of Texas PLLC Psychiatric/Mental Health CurrentSince Jan 23, 2025 Accepting new patients
Psychplus Medical Associates, PLLC CurrentSince Jan 23, 2025 Accepting new patients

Locations

12180 N Mopac Expy
Ste B
Austin, TX 78758
Phone (512) 836-4999

12221 Merit Dr
Ste 450
Dallas, TX 75251
Phone (214) 217-1900

2110 W Trenton Rd
Ste A
Edinburg, TX 78539
Phone (956) 289-8200

3100 Alliance Town Ctr
Fort Worth, TX 76177
Phone (409) 938-5166

902 Frostwood Dr
Ste 201
Houston, TX 77024
Phone (713) 932-7872

7877 Willow Chase Blvd
Houston, TX 77070
Phone 8328694818109

23838 Highway 59 N
Kingwood, TX 77339
Phone (832) 869-4814

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": "1611705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1215528807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3645 CRESTSIDE RD",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352231564",
            "telephone_number": "214-546-3715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 MEDICAL PARK DR E STE 453",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353472",
            "telephone_number": "205-831-9783"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7877 Willow Chase Blvd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770705934",
            "country_code": "US",
            "telephone_number": "832-869-4818",
            "fax_number": "832-241-2902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "EMILY",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-27",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1023054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "495922308",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.