JOHAMARYS D RIVERA SANTANA PSYD
NPI 1508710112
Psychologist in Toa Baja, PR

Active since February 23, 2026PECOS Enrolled
1012 AVE DOS PALMAS, TOA BAJA, PR 00949(787) 949-5557 Get Directions Write a Review

NPPES record last updated: April 17, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Johamarys D Rivera Santana Psyd NPPES

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

JOHAMARYS D RIVERA SANTANA PSYD (NPI 1508710112) is an individual psychologist in Toa Baja, Puerto Rico, licensed in Puerto Rico (8861) and active in the NPI registry since February 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1508710112
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameJOHAMARYS D RIVERA SANTANACredential: PSYD
Location Address1012 AVE DOS PALMASToa Baja, PR 00949-4101
Mailing Address5005 Camino Del Mar Via CangrejosToa Baja, PR 00949 · (787) 949-5557
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateFebruary 23, 2026
Last NPPES UpdateApril 17, 2026
NPPES CertifiedApril 17, 2026
✔ NPI 1508710112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in PR · 8861
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Johamarys D Rivera Santana Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103385174
PECOS Enrollment IDI20260831000014
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Johamarys Rivera Santana reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
1012 AVE DOS PALMAS
Toa Baja, PR 00949
  • Reassigned Medicare billing, Puerto Rico enrollment

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Mental Health (Including Community Mental Health Center))
1012 AVE DOS PALMAS
TOA BAJA, PR 00949

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 Johamarys Rivera Santana's NPI number?

The NPI number for Johamarys Rivera Santana is 1508710112. It was assigned to this individual provider in the NPPES registry on February 23, 2026.

Where is Johamarys Rivera Santana located?

Johamarys Rivera Santana practices at 1012 Ave Dos Palmas, Toa Baja, PR 00949. The listed phone number is (787) 949-5557.

What is Johamarys Rivera Santana's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Johamarys Rivera Santana enrolled in Medicare?

Yes. Johamarys Rivera Santana is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Johamarys Rivera Santana's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Johamarys Rivera Santana reassigns Medicare benefits to Bloom Therapy Clinic LLC (Toa Baja, PR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Johamarys Rivera Santana's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Johamarys Rivera Santana was last updated on April 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.