Active NPI
Robin E Rivinus, RN, CNS, NP
- Psychiatric/Mental Health Nurse Practitioner
- Pittsfield, MA
National Provider Identifier
1063471415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 149071
- Practice address
- 725 North St
Pittsfield, MA 01201-4109 - Phone
- (413) 881-5427
- Fax
- (413) 496-6836
- NPI assigned
- Mar 22, 2006
- Last updated
- Oct 1, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 149071 | MA | Primary |
Addresses
Primary practice location
725 North St
Pittsfield, MA 01201-4109
Mailing address
2 Park St
Adams, MA 01220-2100
Phone (413) 664-4343
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1012386 | Medicaid | VT | |
| 0355801 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist, Nurse Practitioner, Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Williamstown Medical Associates PC | Past | Accepting new patients | |
| Northern Berkshire Healthcare Physicians Group | Past | Accepting new patients | |
| Howland Psychiatry/Psychotherapy Associates | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Surgery Physician
- North Adams, MA
- NPI 1164758439
-
- Internal Medicine Physician
- Williamstown, MA
- NPI 1154319200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412121600000",
"number": "1063471415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 PARK ST",
"city": "ADAMS",
"state": "MA",
"postal_code": "012202100",
"telephone_number": "413-664-4343",
"fax_number": "413-664-7320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 NORTH ST",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "012014109",
"telephone_number": "413-881-5427",
"fax_number": "413-496-6836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVINUS",
"first_name": "ROBIN",
"middle_name": "E",
"credential": "RN, CNS, NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-22",
"last_updated": "2014-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MA",
"license": "149071",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1012386",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0355801",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pittsfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.