ELIZABETH RIVERA
NPI 1740771005
Psychologist in San Rafael, CA

Active since May 22, 2018PECOS EnrolledAccepts Medicare Assignment
111 SMITH RANCH RD, SAN RAFAEL, CA 94903(415) 591-3000 Get Directions Write a Review

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

Record update history: Aug 17, 2026, May 22, 2018 (2 updates tracked since 2018).

About Elizabeth Rivera NPPES

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

ELIZABETH RIVERA (NPI 1740771005) is an individual psychologist in San Rafael, California, licensed in California (35485) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1740771005
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameELIZABETH RIVERA
Location Address111 SMITH RANCH RDSan Rafael, CA 94903-1939
Mailing Address60 Benton AveSan Francisco, CA 94112-1104 · (415) 806-4202
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 22, 2018
Last NPPES UpdateAugust 17, 20262 updates tracked since enumeration
NPPES CertifiedAugust 17, 2026
✔ NPI 1740771005 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 CA · 35485
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.
111 SMITH RANCH RD, San Rafael, CA 94903

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Elizabeth Rivera is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234669060
PECOS Enrollment IDI20250210001674
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 Reassignments

2

Medicare enrollment records show Elizabeth Rivera reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
901 NEVIN
Richmond, CA 94801
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
Psychologist
3517 CAMINO DEL RIO S STE 302
San Diego, CA 92108
  • Reassigned Medicare billing, California enrollment
  • 28 clinicians in this Medicare group

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 20

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

Psychologist
111 SMITH RANCH RD
SAN RAFAEL, CA 94903
Psychiatry & Neurology (Psychiatry)
111 SMITH RANCH RD
SAN RAFAEL, CA 94903
Marriage & Family Therapist
111 SMITH RANCH RD
SAN RAFAEL, CA 94903
Marriage & Family Therapist
111 SMITH RANCH RD
SAN RAFAEL, CA 94903
Psychologist (Clinical)
111 SMITH RANCH RD
SAN RAFAEL, CA 94903
Psychologist
111 SMITH RANCH RD
SAN RAFAEL, CA 94903
Psychologist (Clinical Child & Adolescent)
111 SMITH RANCH RD
SAN RAFAEL, CA 94903
Psychologist
111 SMITH RANCH RD
SAN RAFAEL, CA 94903

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 Elizabeth Rivera's NPI number?

The NPI number for Elizabeth Rivera is 1740771005. It was assigned to this individual provider in the NPPES registry on May 22, 2018.

Where is Elizabeth Rivera located?

Elizabeth Rivera practices at 111 Smith Ranch Rd, San Rafael, CA 94903. The listed phone number is (415) 591-3000.

What is Elizabeth Rivera's specialty?

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

Is Elizabeth Rivera enrolled in Medicare?

Yes. Elizabeth Rivera is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Elizabeth Rivera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Rivera reassigns Medicare benefits to 2 organizations: Permanente Medical Group Inc (Richmond, CA) and Alo Ha Psychological Associates Inc. (San Diego, CA). Each 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 Elizabeth Rivera'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 Elizabeth Rivera was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.