Dr. Yesenia Colon Rivera, Psychological Services LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

DR. YESENIA COLON RIVERA, PSYCHOLOGICAL SERVICES LLC

Practice address

701 Cumberland St Ste 205
Lebanon, PA 17042-5231

Phone

(877) 607-8945

Fax

(877) 387-1188

NPI assigned

Mar 2, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Yesenia Colon Rivera, PSYDNPI 1366804833

Title

Psychologist

Phone

(877) 607-8945

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yesenia Colon Rivera, PSYD

  • Clinical Psychologist
  • Lebanon, PA
  • NPI 1366804833
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1551484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1588122121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 QUENTIN RD # 1029",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170427436",
            "telephone_number": "877-607-8945",
            "fax_number": "877-387-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 CUMBERLAND ST STE 205",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170425231",
            "telephone_number": "877-607-8945",
            "fax_number": "877-387-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. YESENIA COLON RIVERA, PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-02",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "COLON RIVERA",
        "authorized_official_first_name": "YESENIA",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "877-607-8945",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Dorazio, M.S. CCC-SLP
• Sean Dougherty, ATC
• Stephanie Dougherty
• Jessica L Doutrich
• Dr. Robert G. Wertz D.D.S., LTD.
• Drayer Physical Therapy Institute LLC
• Lindsay K Dreese, PHARMD
• Tyler Cane Dreese, PHARMD
• Katie Nicole Dresch, PA-C
• Tamantha Carrie Drexel, LSW

• Clinical Psychologist in Lebanon, PA
• Providers in Lebanon, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.