Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Sully Rivera, MA

Individual provider Psychologist · NPI 1164651691

MS. Sully Rivera, MA is a Psychologist in Palm Bay, Florida. Practices as a sole proprietor and works from 2 locations. Licensed in Florida and Puerto Rico.

Licensed in
FL, PR
In the registry since
2009
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

210 Krassner Dr NW
Palm Bay, FL 32907-6937
Phone: (787) 504-6247
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 210 Krassner Dr Nw, Palm Bay, FL 32907-6937 — (787) 504-6247

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence IMH27362 (FL)
Psychologist Taxonomy 103T00000X · Licence 3347 (PR)

Record details

NPI number1164651691
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA
Sole proprietorYes
NPI enumeratedJuly 6, 2009
Last updated in NPPESAugust 20, 2025
Certification dateAugust 20, 2025
Mailing address210 Krassner Dr Nw, Palm Bay, FL 32907-6937

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