Active NPI
Estela M Rivero, PSYCHOLOGIST
- Psychologist
- Ann Arbor, MI
National Provider Identifier
1932700036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6301018754
- Practice address
- 2627 Oak Valley Dr Apt 205
Ann Arbor, MI 48103-7705 - Phone
- (518) 441-8075
- NPI assigned
- Nov 4, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6301018754 | MI | Primary |
Addresses
Primary practice location
2627 Oak Valley Dr Apt 205
Ann Arbor, MI 48103-7705
Mailing address
2627 Oak Valley Dr Apt 205
Ann Arbor, MI 48103-7705
Phone (518) 441-8075
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 1, 2024 through Jul 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301018754 | MI | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604448000000",
"number": "1932700036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2627 OAK VALLEY DR APT 205",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481037705",
"telephone_number": "518-441-8075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2627 OAK VALLEY DR APT 205",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481037705",
"telephone_number": "518-441-8075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERO",
"first_name": "ESTELA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PSYCHOLOGIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-04",
"last_updated": "2020-11-04",
"certification_date": "2020-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301018754",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ann Arbor, MI
- Jazmine Rivas Dinkins
- Francisco Fernando Rivas Rodriquez, MD
- Daniel Adrian Rivera Rivera
- Roberto Enrique Rivera-de Choudens, M.D.
- Margie B Rivera, CRNA
- Riverview Acquisition Company, LLC (Regency at Bluffs Park)
- Christina Lynne Rivest, LMSW
- Michele Lyn Rivette, L.M.S.W.
- Mary Mansour Riwes, D.O.
- Rafat S Rizk, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.