Individual provider Active NPI

Saimary Rivero

  • Behavior Analyst
  • Miami Lakes, FL
National Provider Identifier
1801189618
Registry record updated Feb 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
8040 NW 155TH St
Miami Lakes, FL 33016-5880
Phone
(305) 827-2822
NPI assigned
May 26, 2011
Last updated
Feb 8, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

8040 NW 155TH St
Miami Lakes, FL 33016-5880

Mailing address

8040 NW 155TH St
Miami Lakes, FL 33016-5880
Phone (305) 827-2822

Other practice location 1

70 NW 6th St
Homestead, FL 33030-5934
Phone (305) 827-2822

Other identifiers 1

IdentifierTypeStateIssuer
018364100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Centers of Florida Inc Current Accepting new patients
MGM Case Management Services Behavior Analyst Current Accepting new patients
Therapeutic Rebirth Corporation Behavior Analyst Past Accepting new patients

Locations

70 NW 6th St
Homestead, FL 33030
Phone (786) 410-8922

8040 NW 155th St
Miami Lakes, FL 33016
Phone (305) 827-0208

Interoperability endpoints

  • Direct secure messaging: sairivero@mb-fl.direct.office.nextgen.com

Organizations & group practices 4

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": "1306368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549584000000",
    "number": "1801189618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8040 NW 155TH ST",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330165880",
            "telephone_number": "305-827-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8040 NW 155TH ST",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330165880",
            "telephone_number": "305-827-2822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "70 NW 6th St",
            "address_purpose": "LOCATION",
            "city": "Homestead",
            "state": "FL",
            "postal_code": "330305934",
            "country_code": "US",
            "telephone_number": "305-827-2822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERO",
        "first_name": "SAIMARY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-26",
        "last_updated": "2019-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018364100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.