DR. ROBERT RIVERA (PSYD) – Psychologist, NPI 1750307427
Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,602 CLINICAL PSYCHOLOGIST in FL
Provider Addresses for DR. ROBERT RIVERA (PSYD)
14540 OLD SAINT AUGUSTINE RD STE 2591
JACKSONVILLE, FL 322587420
Phone: (904) 376-3800
Fax: (904) 390-7405
Type: Location
1361 13TH AVE S STE 270
JACKSONVILLE BEACH, FL 322503258
Phone: (904) 376-3800
Type: Location
14540 Old Saint Augustine Rd Ste 2591
Jacksonville, FL 322587420
Phone: (904) 376-3800
Fax: (904) 390-7405
Type: Location
7827 Wise Ave
Baltimore, MD 212223339
Phone: (410) 282-7222
Fax: (410) 282-0069
Type: Location
PO BOX 748519
ATLANTA, GA 303748519
Phone: (904) 376-3800
Fax: (904) 376-3998
Type: Mailing
7827, Wise Avenue, Grange, Stanbrook, Baltimore County, Maryland, 21222, United States
BALTIMORE, MD 212223339
Phone: (410) 282-7222
Fax: (410) 282-0069
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-09-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20111108000611 | I | Clinical Psychologist | MD | TBD |
| I20240908000105 | I | Clinical Psychologist | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32258)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| - | FL | |
| - | FL | |
| P S Y C H I A T R Y | GA | |
| - | FL | |
| Clinical Psychologist | FL | |
| - | FL | |
| P S Y C H I A T R Y | FL | |
| Clinical Psychologist | FL | |
| Clinical Psychologist | FL |
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