Nicole Rivera

Primary specialty

School PsychologistTaxonomy code 103TS0200X

Practice address

1311 Mamaroneck Ave Ste 150
White Plains, NY 10605-5222

Phone

(914) 328-2868

NPI assigned

Apr 5, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Nicole Snook Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Up We Grow Services LLC

  • Early Intervention Provider Agency
  • Melville, NY
  • NPI 1841066842
  NPD (past)

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

{
    "created_epoch": "1680652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1508551680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 LORENE DR",
            "city": "LAGRANGEVILLE",
            "state": "NY",
            "postal_code": "125405712",
            "telephone_number": "845-702-4262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 MAMARONECK AVE STE 150",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106055222",
            "telephone_number": "914-328-2868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-05",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "SNOOK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Angelica M Rivera, MS, AGACNP-BC
• April Olimpo Rivera
• Desiree Rivera
• Eddie Rivera
• Maribel Angelica Rivera, LCSW
• Stephen Rivera, RN
• Rivertown Radiology , PC
• Jeannette Elisabet Riviere, CDN
• Muhammad Sheheryar Rizwan, DO
• James H. Ro, NP

• School Psychologist in White Plains, NY
• Providers in White Plains, NY by specialty
• School Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; 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.