Individual provider Active NPI

Brenda Iris Rivera, PSY. D.

  • Clinical Psychologist
  • Miami, FL
National Provider Identifier
1386662401
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY6824 Issued in FL
Practice address
10850 SW 113TH PL
Suite #112
Miami, FL 33176-3283
Phone
(786) 269-5181
Fax
(305) 234-4571
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY6824 FL Primary

Addresses

Primary practice location

10850 SW 113TH PL
Suite #112
Miami, FL 33176-3283

Mailing address

10850 SW 113TH PL
Suite #112
Miami, FL 33176-3283
Phone (786) 269-5181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY6824FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Brenda Rivera, Psy.D., P.a. Current Accepting new patients
Nephrology Associates of South Miami PA Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11592/brand/1/csg/1/fhir/r4

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386662401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10850 SW 113TH PL",
            "address_2": "SUITE #112",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331763283",
            "telephone_number": "786-269-5181",
            "fax_number": "305-234-4571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10850 SW 113TH PL",
            "address_2": "SUITE #112",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331763283",
            "telephone_number": "786-269-5181",
            "fax_number": "305-234-4571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "BRENDA",
        "middle_name": "IRIS",
        "credential": "PSY. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.