IRMARY RODRIGUEZ RIVERA
NPI 1821761115
Psychologist - Clinical in Seattle, WA

Q: What is Irmary Rodriguez Rivera's NPI number?

The NPI number for Irmary Rodriguez Rivera is 1821761115. It was assigned to this individual provider in the NPPES registry on August 1, 2021.

Q: What is Irmary Rodriguez Rivera's specialty?

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

Q: Is Irmary Rodriguez Rivera enrolled in Medicare?

No. Irmary Rodriguez Rivera has opted out of Medicare through July 10, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Active since August 01, 2021Opted out of Medicare · through Jul 10, 2028

1200 5TH AVE STE 800, SEATTLE, WA 98101(206) 374-0109(206) 374-0108 Get Directions Write a Review

NPPES record last updated: June 21, 2024. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Jun 21, 2024, Aug 2, 2021 (2 updates tracked since 2021).

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About Irmary Rodriguez Rivera NPPES

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

IRMARY RODRIGUEZ RIVERA (NPI 1821761115) is an individual clinical provider in Seattle, Washington, licensed in Washington (PY61524546) and active in the NPI registry since August 2021. She has opted out of Medicare through July 10, 2028.

NPPES Registry Identity

NPI1821761115

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameIRMARY RODRIGUEZ RIVERA

Location Address1200 5TH AVE STE 800Seattle, WA 98101-3136

Mailing Address1200 5th Ave Ste 800Seattle, WA 98101-3136 · (206) 374-0109

Phone(206) 374-0109

Fax(206) 374-0108

Sole ProprietorNo

Enumeration DateAugust 1, 2021

Last NPPES UpdateJune 21, 20242 updates tracked since enumeration

NPPES CertifiedJune 21, 2024

✔ NPI 1821761115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in WA · PY61524546✔ Licensed in IL · 071008551

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1200 5TH AVE STE 800, Seattle, WA 98101

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Irmary Rodriguez Rivera 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 July 10, 2024 through July 10, 2028.

Opt-Out Effective DateJuly 10, 2024

Opt-Out In Effect ThroughJuly 10, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

DR. ASHLEIGH MARIE HARVEY PHD

Student in an Organized Health Care Education/Training Program