DR. MICHELLE SUZANNE RIVERA HANBY (NPI# 1659618338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659618338 |
| Entity Type | Individual |
| Full Name | DR. MICHELLE SUZANNE RIVERA HANBY |
| Other Name | DR. MICHELLE SUZANNE RIVERA |
| Credential | PH.D. |
| Practice Address |
271 Fort Richardson Ave Goodfellow Afb TX 76908-4901 |
| Practice Telephone | 3256543122 |
| Enumeration Date | 2013-01-15 |
| Last Update Date | 2019-01-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 36131 | TX | Behavioral Health & Social Service Providers |
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
36131 | TX | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
36131 | TX | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
36131 | TX | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 303 W Harris Ave, San Angelo, TX 769036377 | 3259493860 |
| Street Address |
271 FORT RICHARDSON AVE |
| City | GOODFELLOW AFB |
| State | TX |
| Zip Code | 76908-4901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780662197 | Clifton Wallace Bailey | Dentist | 271 Fort Richardson Ave, Goodfellow Afb, TX 76908-4901 | 2006-01-05 |
| 1487290912 | Stacy Poindexter | Pharmacist | 271 Fort Richardson Ave, Goodfellow Afb, TX 76908-4901 | 2019-11-19 |
| 1386106409 | Olivia Rosemary Tighe | Student in an Organized Health Care Education/Training Program | 271 Fort Richardson Ave, Goodfellow Afb, TX 76908 | 2019-04-06 |
| 1326545450 | Matthew Thomas Bean | Dentist | 271 Fort Richardson Ave, Goodfellow Afb, TX 76908-4901 | 2018-04-05 |
| 1548779234 | Stravens Moseti Omwenga | Nurse Practitioner | 271 Fort Richardson Ave, Goodfellow Afb, TX 76908-4901 | 2017-09-25 |
| 1326576521 | Aleksandr Golden Mcpike | Military Health Care Provider | 271 Fort Richardson Ave, Goodfellow Afb, TX 76908-4901 | 2017-06-01 |
| 1295263663 | Peter Dang | Dentist | 271 Fort Richardson Ave, Goodfellow Afb, TX 76908 | 2017-05-30 |
| 1306385083 | Latoya Danielle Johnson | Physician Assistant | 271 Fort Richardson Ave, Goodfellow Afb, TX 76908-4901 | 2017-02-15 |
| 1235687799 | Thomas Montgomery | Dentist | 271 Fort Richardson Ave, Goodfellow Afb, TX 76908-4901 | 2016-09-13 |
| 1497201925 | Samantha Slikkers | Dentist | 271 Fort Richardson Ave, Goodfellow Afb, TX 76908-4901 | 2016-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164590048 | George E Jones Jr. | Pharmacist | 271 Fort Richardson Avenue, San Angelo, TX 76908 | 2006-12-01 |
| 1679649750 | Denise Robin Lyons | Dentist | Dept of The Air Force, 17th Dental Flight (aetc), Goodfellow Afb, TX 76908 | 2006-11-28 |
| 1326132010 | David Franklin-fernandez | Physician Assistant | 271 Fort Richardson, Goodfellow Afb, TX 76908 | 2006-10-03 |
| 1609961077 | Iris Belmar Ortiz Gonzalez | Dentist | 271 Ft Richardson Ave, Goodfellow Afb, TX 76908 | 2006-10-03 |
| 1740785906 | Krishna Kidambi | Internal Medicine | 271 Fort Richardson Avenue, San Angelo, TX 76908 | 2018-03-28 |
| 1861705865 | Justin T Gathercoal | Family Medicine | 17th Medical Operations Squadron, Goodfellow Afb, San Angelo, TX 76908 | 2010-07-19 |
| 1609936848 | Robert Wesley Rainey | Pharmacist | 271 Ft Richardson Ave, Goodfellow Afb, TX 76908 | 2006-12-11 |
| 1760034698 | Lisbet Ivicic | Nurse Practitioner | 351 Kearney Blvd, San Angelo, TX 76908-3215 | 2019-07-11 |
| 1164088266 | Paul B Brown | Optometrist | 271 Fort Richardson Ave Ste 356, San Angelo, TX 76908-4901 | 2019-05-14 |
| 1821572561 | Andrew Amadeus De Los Reyes | Military Health Care Provider | 271 Fort Richardson Ave Bldg 1001, Goodfellow Afb, TX 76908-4901 | 2018-09-19 |
| Find all providers in zip 76908 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568859650 | Devin Merritt | Psychologist | 271 Fort Richardson Ave, Goodfellow Afb, TX 76908-4901 | 2015-04-16 |
| 1942367313 | Shakesha S Anderson Clarke | Psychologist | 271 Ft Richardson Ave, Life Skills Support Center- 17mdg, Goodfellow Afb, TX 76908-4901 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396352340 | Frisco Psychology Group Inc | Psychologist | 3725 Angeles Ave, Mckinney, TX 75070-5402 | 2020-09-24 |
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| 1659986495 | Kennetha L. Fry Phd Pllc | Psychologist | 2626 S Loop W Ste 545, Houston, TX 77054-2679 | 2020-09-09 |
| 1912519802 | Monica Munoz | Psychologist | 1204 Greendale Dr, Bedford, TX 76022-7789 | 2020-08-20 |
| 1033720305 | Albabeth Sarraga Rios | Psychologist | 2801 Bacon Ranch Rd, Killeen, TX 76542-3070 | 2020-08-11 |
| 1558988030 | Catherine Wisenberg Abrahamson | Psychologist | 2806 Winding Shore Ln, Katy, TX 77450-5707 | 2020-06-30 |
| 1396361788 | Tyler Stone | Psychologist | 9515 Curry Landing Dr, Houston, TX 77095-7235 | 2020-06-22 |
| 1770108839 | Tamara Knapp-grosz | Psychologist | 9312 Benefit Dr, Aubrey, TX 76227-5726 | 2020-06-14 |
| 1548885296 | Marlene Williams | Psychologist | 12810 Hillcrest Rd # B123, Dallas, TX 75230-1525 | 2020-06-09 |
| 1386267201 | Courtney Nelson | Psychologist | 10420 Estate Ln, Dallas, TX 75238-2211 | 2020-05-27 |
| Find all providers with the same taxonomy | ||||
| City | GOODFELLOW AFB |
| Zip Code | 76908 |
Please comment or provide details below to improve the information on DR. MICHELLE SUZANNE RIVERA HANBY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.