Individual provider Active NPI

Richard Nieves Hernandez, PSY.D

  • Clinical Psychologist
  • Arecibo, PR
National Provider Identifier
1992395776
Registry record updated May 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6529 Issued in PR
Practice address
Ave. Rafael Colon Castro #3, Urb. Radioville
Suite 2
Arecibo, PR 00612-2715
Phone
(939) 244-7013
NPI assigned
Jan 25, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Psychologist 103TA0400X
Group Psychotherapy Psychologist 103TP2701X
Clinical Psychologist 103TC0700X 6529 PR Primary

Addresses

Primary practice location

Ave. Rafael Colon Castro #3, Urb. Radioville
Suite 2
Arecibo, PR 00612-2715

Mailing address

HC 1 Box 8054
Hatillo, PR 00659-7360

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rnieves_psy.d@icloud.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220630002129 PR Practitioner - Clinical Psychologist 9335529874 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6529PRMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Beautiful Mind CurrentSince May 15, 2022 Accepting new patients

Locations

3 Ave Colon
Ste 2
Arecibo, PR 00612
Phone (939) 649-9689

Organizations & group practices 1

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": "1611532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746921600000",
    "number": "1992395776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 8054",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "006597360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. RAFAEL COLON CASTRO #3, URB. RADIOVILLE",
            "address_2": "SUITE 2",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006122715",
            "telephone_number": "939-244-7013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEVES HERNANDEZ",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-25",
        "last_updated": "2025-05-11",
        "certification_date": "2025-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "6529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rnieves_psy.d@icloud.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "22380 Calle Marcelo Nieves",
            "city": "Quebradillas",
            "state": "PR",
            "country_code": "US",
            "postal_code": "006787234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Arecibo, PR

Sources for this page

Verify at the official NPI Registry.