Individual provider Active NPI

Darlene M Rivera, PH.D

  • Psychologist
  • Palm Beach, FL
National Provider Identifier
1447200811
Registry record updated Oct 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY7152 Issued in FL
Practice address
401 S County Rd # S2102
3840 Pga Blvd, Palm Beach Gardens
Palm Beach, FL 33480-8200
Phone
(561) 966-6555
NPI assigned
May 10, 2006
Last updated
Oct 16, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY7152 FL Primary

Addresses

Primary practice location

401 S County Rd # S2102
3840 Pga Blvd, Palm Beach Gardens
Palm Beach, FL 33480-8200

Mailing address

PO Box 2102
Palm Beach, FL 33480-2102
Phone (954) 907-8358

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY7152FLMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
American Psychology Consultants, PA Psychologist Past Accepting new patients
Mauro Reynolds & Associates in Counseling Inc Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413417600000",
    "number": "1447200811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2102",
            "city": "PALM BEACH",
            "state": "FL",
            "postal_code": "334802102",
            "telephone_number": "954-907-8358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S COUNTY RD # S2102",
            "address_2": "3840 PGA BLVD, PALM BEACH GARDENS",
            "city": "PALM BEACH",
            "state": "FL",
            "postal_code": "334808200",
            "telephone_number": "561-966-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "DARLENE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2014-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY7152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2014; 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.