Healthcare Provider Details

I. General information

NPI: 1114094554
Provider Name (Legal Business Name): NATALIE RIOS PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/29/2006
Last Update Date: 06/18/2025
Certification Date: 06/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5005 LA MART DR STE 100B6
RIVERSIDE CA
92507-5991
US

IV. Provider business mailing address

PO BOX 5267
RIVERSIDE CA
92517-5267
US

V. Phone/Fax

Practice location:
  • Phone: 951-452-4580
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPSY25690
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: