Individual provider Active NPI

Deborah Riviere, EDD

  • Psychologist
  • Somerset, NJ
National Provider Identifier
1750469045
Registry record updated Nov 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
35SI00285300 Issued in NJ
Practice address
107 Cedar Grove LN
Suite 104
Somerset, NJ 08873-4719
Phone
(732) 764-9775
Fax
(732) 297-1066
NPI assigned
Nov 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 35SI00285300 NJ Primary

Addresses

Primary practice location

107 Cedar Grove LN
Suite 104
Somerset, NJ 08873-4719

Mailing address

107 Cedar Grove LN
Suite 104
Somerset, NJ 08873-4719
Phone (732) 764-9775

Other identifiers 1

IdentifierTypeStateIssuer
5379504MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20040521000102 NJ Practitioner - Clinical Psychologist 6305837022 Reassigns benefits to 1 organization
Practice locations: Somerset, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

107 Cedar Grove Lane
Suite 104
Somerset, NJ 08873-4719

107 Cedar Grove LN
Suite 104
Somerset, NJ 08873-4719
Phone (732) 764-9775

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35SI00285300NJMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rutgers Health - Behavioral Health Current Accepting new patients
Rutgers Health - Behavioral Health CurrentSince Sep 25, 1995 Accepting new patients
Ars Clinical Psychotherapy, LLC Past Accepting new patients

Locations

303 George St
Fl 2
New Brunswick, NJ 08901
Phone (732) 235-6800

183 S Orange Ave
Newark, NJ 07103
Phone (973) 972-0004

215 S Orange Ave
Newark, NJ 07103
Phone (973) 972-0885

671 Hoes Ln W
Rm D3381
Piscataway, NJ 08854
Phone (732) 235-3289

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 and National Provider Directory roles.

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": "1352419200000",
    "number": "1750469045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 CEDAR GROVE LN",
            "address_2": "SUITE 104",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088734719",
            "telephone_number": "732-764-9775",
            "fax_number": "732-297-1066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 CEDAR GROVE LN",
            "address_2": "SUITE 104",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088734719",
            "telephone_number": "732-764-9775",
            "fax_number": "732-297-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVIERE",
        "first_name": "DEBORAH",
        "credential": "EDD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2012-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35SI00285300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5379504",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

Verify at the official NPI Registry.