Individual provider Active NPI

Carla M Rivera-Mejia, PHD

  • Counseling Psychologist
  • Bayamon, PR
National Provider Identifier
1740656883
Registry record updated Feb 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
4182 Issued in PR
Practice address
100 Paseo San Pablo
Arturo Cadilla Building Suite 401
Bayamon, PR 00961-7019
Phone
(787) 786-7391
NPI assigned
Aug 12, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 4182 PR
Counseling Psychologist 103TC1900X 4182 PR Primary

Addresses

Primary practice location

100 Paseo San Pablo
Arturo Cadilla Building Suite 401
Bayamon, PR 00961-7019

Mailing address

100 Paseo San Pablo
Arturo Cadilla Building Suite 401
Bayamon, PR 00961-7019
Phone (787) 786-7391

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
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
I20171107001894 PR Practitioner - Clinical Psychologist 7810253887 Practice locations: Bayamon, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4182PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Jose Rivera del Rio Cardiology Services PSC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582329600000",
    "number": "1740656883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PASEO SAN PABLO",
            "address_2": "ARTURO CADILLA BUILDING SUITE 401",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009617019",
            "telephone_number": "787-786-7391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PASEO SAN PABLO",
            "address_2": "ARTURO CADILLA BUILDING SUITE 401",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009617019",
            "telephone_number": "787-786-7391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA-MEJIA",
        "first_name": "CARLA",
        "middle_name": "M",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-12",
        "last_updated": "2020-02-22",
        "certification_date": "2020-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "4182",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "4182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.