Active NPI
Amelia Rivas, M.S., L.L.P.
- Clinical Psychologist
- Wyandotte, MI
National Provider Identifier
1508295635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301013585
- Practice address
- 2514 Biddle Ave
Wyandotte, MI 48192-7891 - Phone
- (248) 444-7378
- NPI assigned
- Nov 8, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6301013585 | MI | Primary |
Addresses
Primary practice location
2514 Biddle Ave
Wyandotte, MI 48192-7891
Mailing address
2514 Biddle Ave
Wyandotte, MI 48192-7891
Phone (248) 444-7378
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301013585 | MI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740009600000",
"number": "1508295635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2514 BIDDLE AVE",
"city": "WYANDOTTE",
"state": "MI",
"postal_code": "481927891",
"telephone_number": "248-444-7378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2514 BIDDLE AVE",
"city": "WYANDOTTE",
"state": "MI",
"postal_code": "481927891",
"telephone_number": "248-444-7378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVAS",
"first_name": "AMELIA",
"credential": "M.S., L.L.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-08",
"last_updated": "2025-02-20",
"certification_date": "2025-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301013585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wyandotte, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.