Individual provider Active NPI

Jared Tristan Ritter, M.D.

  • Child & Adolescent Psychiatry Physician
  • Palm Coast, FL
National Provider Identifier
1205070679
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
ME118743 Issued in FL
Practice address
1 Armand Beach Dr # 1
Palm Coast, FL 32137-2638
Phone
(386) 569-4257
Fax
(888) 533-4883
NPI assigned
Apr 28, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 17212 HI
Child & Adolescent Psychiatry Physician 2084P0804X ME118743 FL Primary

Addresses

Primary practice location

1 Armand Beach Dr # 1
Palm Coast, FL 32137-2638

Mailing address

1 Armand Beach Dr # 1
Palm Coast, FL 32137-2638
Phone (386) 569-4257

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
17212HIMDPsychiatry Physician

Interoperability endpoints

  • Direct secure messaging: jaredritter@fhcpfl.allscriptsdirect.net

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1240876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1205070679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ARMAND BEACH DR # 1",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321372638",
            "telephone_number": "386-569-4257",
            "fax_number": "386-302-0085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ARMAND BEACH DR # 1",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321372638",
            "telephone_number": "386-569-4257",
            "fax_number": "888-533-4883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RITTER",
        "first_name": "JARED",
        "middle_name": "TRISTAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-28",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "HI",
            "license": "17212",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "ME118743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.