Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Robert Rivera , PsyD

Psychologist β€’ Jacksonville Beach, FL

Active NPI 1750307427 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

1361 13th Ave S Ste 270
Jacksonville Beach, FL 322503258

Call 9043763800 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1361 13th Ave S Ste 270

Jacksonville Beach, FL 322503258

Telephone 9043763800
Organization at the Same NPPES Address or Phone
Baptist Behavioral Health, Llc Facility NPI 1164155974

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Baltimore, MD; Bel Air, MD. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Baptist Behavioral Health Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026

Graduation Year

2001

Years since graduation

25 years (graduated 2001)

CMS Doctors and Clinicians data list 2001 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Rivera has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Rivera as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Jacksonville Beach and Florida

4 active clinicians are listed under Psychologist with a practice address in Jacksonville Beach, FL (2,225 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-09-29
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

License # reported to NPPES FL PY10893

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.

Psychologist

NUCC Taxonomy Code: 103T00000X

License # reported to NPPES MD 03845

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - CLINICAL PSYCHOLOGIST

Medicare Enrollment ID

I20111108000611

Enrollment State Jurisdiction

MD

PECOS Control ID

4385817378

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026

Baptist Behavioral Health Llc

1361 13th St S, Jacksonville Beach, FL 322503258

Phone: 9043763800

Secondary Practice Locations

9414 Belair Rd Ste 201

Baltimore, MD 212361542

Phone: 4105292151

2230 Old Emmorton Rd

Bel Air, MD 210156106

Phone: 4105292151

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

17 listed
Dr. John Byron , PsyD

Psychologist - Clinical

NPI 1023038072

Doctor of Psychology (Psy.D.)

Dr. Peter Clagnaz , MD

Psychiatry & Neurology - Psychiatry

NPI 1043256605

Doctor of Medicine (M.D.)

Philip Justice

Marriage & Family Therapist

NPI 1023611621
Dr. Kristen Kelley , PsyD

Psychologist - Clinical

NPI 1154483956

Doctor of Psychology (Psy.D.)

Dr. Andrew King , PhD

Psychologist - Clinical

NPI 1164079554

Doctor of Philosophy (Ph.D.)

Michelle Leon , LMHC, NCC

Counselor - Mental Health

NPI 1164084505

Licensed Mental Health Counselor, National Certified Counselor

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
🏒
Secondary Practice Location Registered September 29, 2026

Additional practice office at 2230 Old Emmorton Rd, Bel Air, MD 210156106

🏒
Secondary Practice Location Registered September 29, 2026

Additional practice office at 9414 Belair Rd Ste 201, Baltimore, MD 212361542

🏒
Secondary Practice Location Registered April 08, 2026

Additional practice office at 7827 Wise Ave, Baltimore, MD 212223339

πŸ“
Updated Practice Location March 04, 2026

Registered at 1361 13TH AVE S STE 270, JACKSONVILLE BEACH, FL 322503258 (Tel: 9043763800)

πŸ“
Updated Practice Location December 10, 2024

Registered at 14540 OLD SAINT AUGUSTINE RD STE 2591, JACKSONVILLE, FL 322587420 (Tel: 9043763800)

πŸ“
Updated Business Mailing Address December 10, 2024

Registered at PO BOX 748519, ATLANTA, GA 303748519 (Tel: 9043763800)

βœ…
NPI Profile Active October 11, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 11, 2007

Registered at 7827 WISE AVE, BALTIMORE, MD 212223339 (Tel: 4102827222)

πŸ“
Business Mailing Address (Initial Record) October 11, 2007

Registered at 7827 WISE AVE, BALTIMORE, MD 212223339 (Tel: 4102827222)

πŸ‘€
Provider Name / Credentials (Initial Record) October 11, 2007

Recorded as ROBERT RIVERA, PSYD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 11, 2007

Psychologist (license number reported to NPPES: MD 03845)

🟒
Initial NPI Registration & Enumeration July 14, 2006

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1750307427
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 14, 2006
Last Update: September 29, 2026
Sole Proprietor: Yes

Mailing Address

Po Box 748519

Atlanta, GA 303748519

Phone: 9043763800

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.