Trauma Recovery, Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

TRAUMA RECOVERY, INC

Doing business as

Trauma Recovery, Inc

Practice address

18917 Nordhoff St Ste 18
Northridge, CA 91324

Phone

(818) 397-1260

Fax

(818) 341-3806

NPI assigned

Apr 28, 2009

Organization subpart

No

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

Authorized official

Name

Beverly Carol Rivera, PHDNPI 1639382815

Title

Clinical Psychologist/President

Phone

(818) 341-3805

Specialties & licenses 1

Addresses

Other names 1

• Trauma Recovery, Inc Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Beverly Carol Rivera, PHD

  • Clinical Psychologist
  • Northridge, CA
  • NPI 1639382815
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1240876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528156800000",
    "number": "1336383850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18917 NORDHOFF ST STE 18",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913244823",
            "telephone_number": "818-397-1260",
            "fax_number": "818-341-3806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18917 NORDHOFF ST STE 18",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "91324",
            "telephone_number": "818-397-1260",
            "fax_number": "818-341-3806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAUMA RECOVERY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-28",
        "last_updated": "2018-06-05",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "CAROL",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST/PRESIDENT",
        "authorized_official_telephone_number": "818-341-3805",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trauma Recovery, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Khoi D Tran, DMD
• Ngoc H Tran, O.D.
• Tam-Huong Ngoc Tran, DDS
• Transcend Home Health, Inc.
• Trauma Plastic Surgery Group Inc
• Emily Trejo
• Mary Ann H Trephan, MD
• Ricky Trevino
• Tri Meadows Healthcare LLC
• Tribute Counseling & Psychotherapy Services

• Clinical Psychologist in Northridge, CA
• Providers in Northridge, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.