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DR. CARLOS ENRIQUE RIVERA VILLEGAS PHD
NPI 1457695090
Psychologist - Clinical in Brooklyn, NY

Active since November 20, 2012Opted out of Medicare · through Jan 30, 2028
921 WASHINGTON AVE APT 4K, BROOKLYN, NY 11225(617) 308-0297 Get Directions Write a Review

NPPES record last updated: March 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Carlos Enrique Rivera Villegas Phd NPPES

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

DR. CARLOS ENRIQUE RIVERA VILLEGAS PHD (NPI 1457695090) is an individual clinical provider in Brooklyn, New York, licensed in New York (024776) and active in the NPI registry since November 2012. He has opted out of Medicare through January 30, 2028 and maintains a secondary practice location in Melrose.

NPPES Registry Identity

NPI1457695090
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. CARLOS ENRIQUE RIVERA VILLEGASCredential: PHD
Location Address921 WASHINGTON AVE APT 4KBrooklyn, NY 11225-1034
Mailing Address921 Washington Ave Apt 4kBrooklyn, NY 11225-1034 · (617) 308-0297
Phone(617) 308-0297
Sole ProprietorYes
Enumeration DateNovember 20, 2012
Last NPPES UpdateMarch 7, 2022
NPPES CertifiedMarch 7, 2022
✔ NPI 1457695090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses✔ Licensed in NY · 024776✔ Licensed in MA · 11326
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.
921 WASHINGTON AVE APT 4K, Brooklyn, NY 11225
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Secondary Practice Location 1

Location 1612 Main StMelrose, MA 02176-3116 · Phone (781) 517-7554

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Carlos Enrique Rivera Villegas Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 30, 2026 through January 30, 2028.

Opt-Out Effective DateJanuary 30, 2026
Opt-Out In Effect ThroughJanuary 30, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Carlos Rivera Villegas's NPI number?

The NPI number for Carlos Rivera Villegas is 1457695090. It was assigned to this individual provider in the NPPES registry on November 20, 2012.

Where is Carlos Rivera Villegas located?

Carlos Rivera Villegas practices at 921 Washington Ave Apt 4K, Brooklyn, NY 11225. The listed phone number is (617) 308-0297.

What is Carlos Rivera Villegas's specialty?

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

Is Carlos Rivera Villegas enrolled in Medicare?

No. Carlos Rivera Villegas has opted out of Medicare through January 30, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Carlos Rivera Villegas was last updated on March 7, 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.