DR. KELLY CAULEY RIVINIUS
NPI 1093450405
Psychologist - Clinical in Redlands, CA

Q: What is Kelly Rivinius's NPI number?

The NPI number for Kelly Rivinius is 1093450405. It was assigned to this individual provider in the NPPES registry on April 29, 2022.

Q: What is Kelly Rivinius's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Rivinius was last updated on April 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 29, 2022

11201 CALIFORNIA ST STE E, REDLANDS, CA 92373(909) 754-0865 Get Directions Write a Review

NPPES record last updated: April 29, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Kelly Cauley Rivinius NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KELLY CAULEY RIVINIUS (NPI 1093450405) is an individual clinical provider in Redlands, California, licensed in California (PSY28377) and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1093450405

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. KELLY CAULEY RIVINIUS

Location Address11201 CALIFORNIA ST STE ERedlands, CA 92373-4247

Mailing Address11201 California St Ste ERedlands, CA 92373-4247 · (909) 754-0865

Phone(909) 754-0865

Sole ProprietorYes

Enumeration DateApril 29, 2022

NPPES CertifiedApril 29, 2022

✔ NPI 1093450405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY28377

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

11201 CALIFORNIA ST STE E, Redlands, CA 92373

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Rivinius's NPI number?

The NPI number for Kelly Rivinius is 1093450405. It was assigned to this individual provider in the NPPES registry on April 29, 2022.

Where is Kelly Rivinius located?

Kelly Rivinius practices at 11201 California St Ste E, Redlands, CA 92373. The listed phone number is (909) 754-0865.

What is Kelly Rivinius's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Kelly Rivinius was last updated on April 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.