Malky Ivette Rivera, PSY.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3482 Issued in PR

Practice address

HC 77 Box 7721
Vega Alta, PR 00692-9718

Phone

(787) 515-0255

NPI assigned

Mar 3, 2010

Last updated

Mar 3, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Psychologist

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Camuy Health Services, Inc.Group PAC ID 3072559301, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Camuy Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Camuy, PR
  • NPI 1437105582
  Medicare reassignment Care Compare group NPD
• Centro Psicologico Ekilibrio CSP

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hatillo, PR
  • NPI 1174837108
  NPD (past) Authorized official
• Camuy Health Services, Inc.

  • Clinical Medical Laboratory
  • Camuy, PR
  • NPI 1275612780
  NPD

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

{
    "created_epoch": "1267574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267574400000",
    "number": "1821311945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 77 BOX 7721",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "006929718",
            "telephone_number": "787-515-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC 77 BOX 7721",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "006929718",
            "telephone_number": "787-515-0255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "MALKY",
        "middle_name": "IVETTE",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-03",
        "last_updated": "2010-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "3482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lilliana Rivera Nieves, THERAPIST
• Saul L Rivera Ortega, M.D.
• Ariel Rivera, MD
• Brendaliz Rivera, M.D.
• Glenda J Rivera
• Normarie Rivera, PSY D.
• Omar E Rivera, DC
• Sheila Mary Rivera, MPSY
• Blanca Robles, BSN
• Astrid Rebecca Rodriguez Cardona, PHARMD, RPH

• Clinical Psychologist in Vega Alta, PR
• Providers in Vega Alta, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.