Yesenia Colon Rivera, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS018017 Issued in PA

Practice address

701 Cumberland St Ste 205
Lebanon, PA 17042-5231

Phone

(877) 607-8945

Fax

(877) 387-1188

NPI assigned

Mar 24, 2016

Last updated

Jun 24, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Clinical Psychologist

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr. Yesenia Colon Rivera, Psychological Services LLC

  • Clinical Psychologist
  • Lebanon, PA
  • NPI 1588122121
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1458777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1366804833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 QUENTIN RD # 1029",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170427436",
            "telephone_number": "877-607-8945",
            "fax_number": "877-387-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 CUMBERLAND ST STE 205",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170425231",
            "telephone_number": "877-607-8945",
            "fax_number": "877-387-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON RIVERA",
        "first_name": "YESENIA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS018017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey College
• H. Edward Collier III, MD
• Ashley Marie Collins
• Mark Wayne Collins, CRNP
• Michael Charles Collins
• Ruby Rivera Colon
• Efkan Mustafa Colpan, M.D.
• Comforting Hands Chiropractic LLC
• Community Family Health Care PC
• Compeer of Lebanon County

• Clinical Psychologist in Lebanon, PA
• Providers in Lebanon, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.