Individual provider Active NPI

Nancy E.M. Rivas, PHD

  • Clinical Psychologist
  • Naperville, IL
National Provider Identifier
1609954924
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071-006321 Issued in IL
Practice address
1805 N Mill St Ste L
Naperville, IL 60563-4860
Phone
(331) 229-3123
Fax
(331) 226-0780
NPI assigned
Nov 2, 2006
Last updated
Nov 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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 071-006321 IL Primary

Addresses

Primary practice location

1805 N Mill St Ste L
Naperville, IL 60563-4860

Mailing address

1805 N Mill St Ste L
Naperville, IL 60563-4860
Phone (331) 229-3123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20260216000590 IL Practitioner - Clinical Psychologist 5698847655 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Nancy M Rivas PC Flourishing Lives Counseling CenterGroup PAC ID 2961937040, 5 clinicians

Practice addresses (Care Compare)

1805 N Mill St
Suite L
Naperville, IL 60563-4860
Phone (331) 229-3123

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
071-006321ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Nancy M Rivas PC Flourishing Lives Counseling Center Clinical CurrentSince Oct 6, 2025 Accepting new patients

Locations

1805 N Mill St
Ste L
Naperville, IL 60563
Phone (331) 229-3123

Organizations & group practices 1

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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1609954924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 N MILL ST STE L",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605634860",
            "telephone_number": "331-229-3123",
            "fax_number": "331-226-0780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 N MILL ST STE L",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605634860",
            "telephone_number": "331-229-3123",
            "fax_number": "331-226-0780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVAS",
        "first_name": "NANCY",
        "middle_name": "E.M.",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-006321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.