Individual provider Active NPI

Camila M. Rivera-Morales, PHD

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1578944112
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
025007 Issued in NY
Practice address
635 W 165TH St
New York, NY 10032-3724
Phone
(212) 305-5977
NPI assigned
Jun 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 025007 NY Primary

Addresses

Primary practice location

635 W 165TH St
New York, NY 10032-3724

Mailing address

230 W 17TH St
New York, NY 10011-5325
Phone (212) 206-5200

Other identifiers 1

IdentifierTypeStateIssuer
025007OtherNYLICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address CRivera-Morales@institute.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220923001370 NY Practitioner - Clinical Psychologist 3577948702 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
025007NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Institute for Family Health CurrentSince Jul 18, 2022 Accepting new patients
The Institute for Family Health Current Accepting new patients
The Institute for Family Health CurrentSince Jul 18, 2022 Accepting new patients

Locations

16 E 16th St
New York, NY 10003
Phone (212) 633-0800

230 W 17th St
New York, NY 10011
Phone (212) 989-8999

1824 Madison Ave
New York, NY 10035
Phone (212) 423-4200

Interoperability endpoints

  • Direct secure messaging: crivera-morales@institute.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1578944112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 W 17TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100115325",
            "telephone_number": "212-206-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 W 165TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323724",
            "telephone_number": "212-305-5977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA-MORALES",
        "first_name": "CAMILA",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-09",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "025007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "025007",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CRivera-Morales@institute.org",
            "affiliation": "N",
            "address_1": "635 W 165th St",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100323724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.