Carlos Enrique Rivera Villegas, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

024776 Issued in NY

Practice address

921 Washington Ave Apt 4K
Brooklyn, NY 11225-1034

Phone

(617) 308-0297

NPI assigned

Nov 20, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 30, 2026 through Jan 30, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Rivera Villegas Psychological Services, PLLC

  • Clinical Psychologist
  • New York, NY
  • NPI 1154145142
  NPD Authorized official
• New England Center for Ocd and Anxiety New York

  • Mental Health Counselor
  • New York, NY
  • NPI 1841001880
  NPD (past)

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

{
    "created_epoch": "1353369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1457695090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 WASHINGTON AVE APT 4K",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112251034",
            "telephone_number": "617-308-0297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 WASHINGTON AVE APT 4K",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112251034",
            "telephone_number": "617-308-0297"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "612 Main St",
            "address_purpose": "LOCATION",
            "city": "Melrose",
            "state": "MA",
            "postal_code": "021763116",
            "country_code": "US",
            "telephone_number": "781-517-7554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA VILLEGAS",
        "first_name": "CARLOS",
        "middle_name": "ENRIQUE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-20",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "11326",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "024776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• River of Woods Inc.
• Marlon Eliu Rivera Boadla
• Javier Jose Rivera Fabregas, PHARMD
• Marlene Rivera Ortiz, DC
• Lea Rivera Todaro
• Yaina Luzzett Rivera-Camacho
• Raphael Andres Rivera-Cruz
• Claudia Rivera-Galindo, M.D.
• Jasmine Rivera-Hackley
• Natalie Solange Rivera-Ithier, DPM

• Clinical Psychologist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.