Active NPI
Northwest Psychological Clinic
- Clinical Psychologist
- San Sebastian, PR
National Provider Identifier
1386502037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- NORTHWEST PSYCHOLOGICAL CLINIC
- Practice address
- Calle Ruiz Belvis #230 Suite #2
San Sebastian, PR 00685 - Phone
- (787) 515-4848
- NPI assigned
- Jan 12, 2026
- Last updated
- Feb 17, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Alexis F Rivera, PHD
- Title
- Vice- President
- Phone
- (787) 454-7794
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | NU | ||
| Clinical Psychologist | 103TC0700X | NU | Primary | |
| Forensic Psychologist | 103TF0200X | NU |
Addresses
Primary practice location
Calle Ruiz Belvis #230 Suite #2
San Sebastian, PR 00685
Mailing address
PO Box 130
San Sebastian, PR 00685-0130
Phone (787) 515-4848
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
230 Calle Ruiz Belvis
Ste 2
San Sebastian, PR 00685
Phone (787) 454-7794
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Psychologist
- Sabana Grande, PR
- NPI 1013429505
-
- Clinical Psychologist
- San Sebastian, PR
- NPI 1114504750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1768176000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771286400000",
"number": "1386502037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 130",
"city": "SAN SEBASTIAN",
"state": "PR",
"postal_code": "006850130",
"telephone_number": "787-515-4848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE RUIZ BELVIS #230 SUITE #2",
"city": "SAN SEBASTIAN",
"state": "PR",
"postal_code": "00685",
"telephone_number": "787-515-4848"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHWEST PSYCHOLOGICAL CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2026-01-12",
"last_updated": "2026-02-17",
"certification_date": "2026-02-17",
"status": "A",
"authorized_official_last_name": "RIVERA",
"authorized_official_first_name": "ALEXIS",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "VICE- PRESIDENT",
"authorized_official_telephone_number": "787-454-7794",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Sebastian, PR
- Maria Elena Nieves Soto, M.S.W.
- Diana Marie Nieves, THL
- Norma I Nieves, OPTHICIAN
- Northwest Imaging Center LLC
- Northwest Infusion Center LLC
- Obdulio Segarra Velez (Segarras Ambulance)
- Ojos Centro Optico LLC
- Zaira Teresa Olivencia Henriquez, OD
- On Time Ambulance Service Inc.
- On Time Medical Transport LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; 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.