| Dr Robert Rivera, PSYD | |
|
1361 13th Ave S Ste 270, Jacksonville Beach, FL 32250-3258 | |
| (904) 376-3800 | |
| Not Available |
| Full Name | Dr Robert Rivera |
|---|---|
| Gender | Male |
| Speciality | Psychologist |
| Location | 1361 13th Ave S Ste 270, Jacksonville Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750307427 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 03845 (Maryland) | Secondary |
| 103T00000X | Psychologist | PY10893 (Florida) | Primary |
| Entity Name | Renewal Counseling Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417086737 PECOS PAC ID: 2062454747 Enrollment ID: O20050523001264 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Robert Rivera, PSYD Po Box 748519, Atlanta, GA 30374-8519 Ph: (904) 376-3800 | Dr Robert Rivera, PSYD 1361 13th Ave S Ste 270, Jacksonville Beach, FL 32250-3258 Ph: (904) 376-3800 |
Dr. Cynthia P Stevens, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1538 The Greens Way, Suite 101, Jacksonville Beach, FL 32250 Phone: 904-543-0161 Fax: 904-543-9172 | |
Richard S Oxhorn, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 204 Laguna Villa Blvd, A-23, Jacksonville Beach, FL 32250 Phone: 904-625-1101 | |
Lisa Selvig Amato, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1538 The Greens Way, Suite 101, Jacksonville Beach, FL 32250 Phone: 904-543-0161 | |
Steven L. Wise, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 482 Jacksonville Dr, Jacksonville Beach, FL 32250 Phone: 904-247-3600 | |
Ronnie Burak, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 482 Jacksonville Dr, Jacksonville Beach, FL 32250 Phone: 904-247-3600 Fax: 904-247-4926 | |
James Fletcher, Psychologist Medicare: Medicare Enrolled Practice Location: 482 Jacksonville Dr, Jacksonville Beach, FL 32250 Phone: 904-247-3600 Fax: 904-247-4926 | |
Mercedes Mcgowan, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 482 Jacksonville Dr, Jacksonville Beach, FL 32250 Phone: 904-247-3600 Fax: 904-247-4926 |