Individual provider Active NPI

Anthony Rivers, PSY.D.

  • Psychologist
  • Columbus, OH
National Provider Identifier
1982982963
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
3244 Henderson Rd Ste 4
Columbus, OH 43220-7300
Phone
(614) 664-3175
Fax
(614) 386-1692
NPI assigned
Jul 25, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6935 OH
Psychologist 103T00000X OH Primary

Addresses

Primary practice location

3244 Henderson Rd Ste 4
Columbus, OH 43220-7300

Mailing address

3244 Henderson Rd Ste 4
Columbus, OH 43220-7300
Phone (614) 664-3175

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20130201000443 OH Practitioner - Clinical Psychologist 8022262831 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cordell Associates, LLCGroup PAC ID 8325130453, 8 clinicians

Practice addresses (Care Compare)

6500 Poe Ave
Suite 400
Dayton, OH 45414-2870
Phone (937) 276-3356

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6935OHMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Customized Behavioral Healthcare Clinical CurrentSince Nov 12, 2023 Accepting new patients
Cordell Associates, LLC Clinical CurrentSince Jan 21, 2013 Accepting new patients

Locations

3244 Henderson Rd
Ste 4
Columbus, OH 43220
Phone (614) 664-3175

6500 Poe Ave
Ste 400
Dayton, OH 45414
Phone (937) 276-3356

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": "1311552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1982982963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3244 HENDERSON RD STE 4",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432207300",
            "telephone_number": "614-664-3175",
            "fax_number": "614-386-1692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3244 HENDERSON RD STE 4",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432207300",
            "telephone_number": "614-664-3175",
            "fax_number": "614-386-1692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERS",
        "first_name": "ANTHONY",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-25",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "6935",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.