Jose Enrique Rivera, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY 6922 Issued in FL

Practice address

10111 West Forest Hill Blvd.
Suite 160
Wellington, FL 33414

Phone

(561) 793-7678

Fax

(561) 793-9745

NPI assigned

Apr 20, 2007

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447477278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10111 WEST FOREST HILL BLVD.",
            "address_2": "SUITE 160",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "33414",
            "telephone_number": "561-793-7678",
            "fax_number": "561-793-9745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10111 WEST FOREST HILL BLVD.",
            "address_2": "SUITE 160",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "33414",
            "telephone_number": "561-793-7678",
            "fax_number": "561-793-9745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "JOSE",
        "middle_name": "ENRIQUE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY 6922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Gerald Rivellini Jr., CRNA
• Renato Rivera Morales, CRNA
• Danielle Rivera, M.S.P.T.
• Dayra Vivianis Rivera
• Enrique Rivera, PH.D.
• Jazmin Rivero
• Krista Marie Riveron, PHARMD, JD, MS
• RK7, LLC
• Road to Recovery
• Sean T Robb

• Clinical Psychologist in Wellington, FL
• Providers in Wellington, FL by specialty
• Clinical Psychologist in Florida

• 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.