Individual provider Active NPI

Allyan Watson Rivera Orsini, LCSW RBCD

  • Psychologist
  • West Babylon, NY
National Provider Identifier
1427048669
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
R0414081 Issued in NY
Practice address
17 Fordham Rd
West Babylon, NY 11704-5803
Phone
(631) 321-7011
NPI assigned
Oct 27, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X R0414081 NY Primary
Clinical Social Worker 1041C0700X R0414081 NY

Addresses

Primary practice location

17 Fordham Rd
West Babylon, NY 11704-5803

Mailing address

45 Inlet Dr
Lindenhurst, NY 11757-6804
Phone (631) 957-0788

Other identifiers 2

IdentifierTypeStateIssuer
R041408OtherNYVYTRA
537688OtherNYVALUE OPTIONS

Other names 1

  • Ms. Allyan Watson Rivera Professional name

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
R0414081NYMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Heart & Soul Community Counseling Clinical PastSince May 8, 2019 Accepting new patients

Organizations & group practices 1

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": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1427048669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 INLET DR",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117576804",
            "telephone_number": "631-957-0788",
            "fax_number": "631-957-0788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 FORDHAM RD",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117045803",
            "telephone_number": "631-321-7011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA ORSINI",
        "first_name": "ALLYAN",
        "middle_name": "WATSON",
        "name_prefix": "Ms.",
        "credential": "LCSW RBCD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "R0414081",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R0414081",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VYTRA",
            "identifier": "R041408",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "537688",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLYAN",
            "last_name": "RIVERA",
            "middle_name": "WATSON",
            "prefix": "MS.",
            "credential": "LCSW RBCP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in West Babylon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.