Active NPI
Virginia Rivera, SCHOOL PSYCHOLOGIST
- Psychologist
- San Luis, AZ
National Provider Identifier
1477693869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 1453 N Main Street Suite F
San Luis, AZ 85349 - Phone
- (928) 627-6567
- NPI assigned
- Feb 7, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | AZ | Primary |
Addresses
Primary practice location
1453 N Main Street Suite F
San Luis, AZ 85349
Mailing address
1440 W 16TH PL
Yuma, AZ 85364-5319
Phone (928) 783-4278
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 822751 | Other | AZ | AHCCCS |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185408000000",
"number": "1477693869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1440 W 16TH PL",
"city": "YUMA",
"state": "AZ",
"postal_code": "853645319",
"telephone_number": "928-783-4278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1453 N MAIN STREET SUITE F",
"city": "SAN LUIS",
"state": "AZ",
"postal_code": "85349",
"telephone_number": "928-627-6567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "VIRGINIA",
"name_prefix": "Mrs.",
"credential": "SCHOOL PSYCHOLOGIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-07",
"last_updated": "2007-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "AZ",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCCCS",
"identifier": "822751",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Luis, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.