Jeanette Rivera, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

7246 Issued in PR

Practice address

Barrio Aruz
Carr. 1 KM 18.8
Juana Diaz, PR 00795-3669

Phone

(787) 225-2356

NPI assigned

Apr 2, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Advanced Behavioral Center, Inc.

  • Adult Mental Health Clinic/Center
  • Ponce, PR
  • NPI 1588965016
  NPD (past)

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

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1992071112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. CAMINO DEL SUR CALLE FRAILE",
            "address_2": "# 436",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00716",
            "telephone_number": "787-225-2356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BARRIO ARUZ",
            "address_2": "CARR. 1 KM 18.8",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "007953669",
            "telephone_number": "787-225-2356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "JEANETTE",
        "name_prefix": "Ms.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-02",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PR",
            "license": "1072",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "7246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlene Rivera Pages, LCSW
• Janir A. Rivera-Amill, O.T.
• Ana Gabriela Rivera-Pagan
• Gabriel D. Rivera
• Jannelyn Rosario Rivera, PATOLOGA DEL HABLA
• Jorge Luis Rivera, D.M.D.
• Leane Margarita Rivera
• Lizbeth Rivera
• Ramon Ricardo Rivera, PSY.D
• Reinaldo Luis Rivera, MSW

• Clinical Psychologist in Juana Diaz, PR
• Providers in Juana Diaz, 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 Jan 13, 2022; 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.