Individual provider Active NPI

Joseph Rivera

  • Psychiatric/Mental Health Nurse Practitioner
  • Katonah, NY
National Provider Identifier
1780448613
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F405571-01 Issued in NY
Practice address
200 Katonah Ave Ste 14B
Katonah, NY 10536-2175
Phone
(914) 301-7400
NPI assigned
Feb 12, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F405571-01 NY Primary

Addresses

Primary practice location

200 Katonah Ave Ste 14B
Katonah, NY 10536-2175

Mailing address

200 Katonah Ave Ste 14B
Katonah, NY 10536-2175
Phone (914) 301-7400

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250414003221 NY Practitioner - Nurse Practitioner 2668996455 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carmel Psychological Health PCGroup PAC ID 4385530351, 222 clinicians

Practice addresses (Care Compare)

560 White Plains Rd
Suite 215
Tarrytown, NY 10591-5178
Phone (914) 359-5841

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F405571-01NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Path Mental Wellness LLC Nurse Practitioner Current Accepting new patients
Carmel Psychological Health, PC CurrentSince Mar 9, 2025 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

667 Stoneleigh Ave
Ste 202
Carmel, NY 10512
Phone (845) 278-5223

560 White Plains Rd
Ste 215
Tarrytown, NY 10591
Phone (914) 218-2818

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.josephrivera@142175.advancedmd-direct.com

Organizations & group practices 2

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": "1707696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1780448613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 KATONAH AVE STE 14B",
            "city": "KATONAH",
            "state": "NY",
            "postal_code": "105362175",
            "telephone_number": "914-301-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 KATONAH AVE STE 14B",
            "city": "KATONAH",
            "state": "NY",
            "postal_code": "105362175",
            "telephone_number": "914-301-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "JOSEPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-12",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F405571-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katonah, NY

Sources for this page

Verify at the official NPI Registry.