Active NPI
Ovidiu Dan Rivis, M.D.
- Psychiatry Physician
- Augusta, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 016322
- Practice address
- 66 Stone St
Augusta, ME 04330-5227 - Phone
- (207) 626-3455
- Fax
- (207) 626-3612
- NPI assigned
- Aug 3, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 016322 | ME | Primary |
Addresses
Primary practice location
66 Stone St
Augusta, ME 04330-5227
Mailing address
66 Stone St
Augusta, ME 04330-5227
Phone (207) 626-3455
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016322 | ME | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Missouri | Psychiatry | Current | Accepting new patients |
| State of Missouri | Psychiatry | Current | Accepting new patients |
| State of Missouri | Psychiatry | Current | Accepting new patients |
| Kennebec Valley Mental Health Center | Past | Accepting new patients |
Locations
3505 Frederick Ave
Saint Joseph, MO 64506
Phone (816) 387-2300
Organizations & group practices 4
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.
-
dba Center for Behavioral Health
- Psychiatry Physician
- Kansas City, MO
- NPI 1497709083
-
dba Developmental Disabilities Behavior Services
- Psychiatry Physician
- Kansas City, MO
- NPI 1386198448
-
dba Northwest MO Psychiatric Rehabilitation Center
- Psychiatry Physician
- Saint Joseph, MO
- NPI 1386691657
-
dba Kennebec Behavioral Health
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Waterville, ME
- NPI 1679504864
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356359806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 STONE ST",
"city": "AUGUSTA",
"state": "ME",
"postal_code": "043305227",
"telephone_number": "207-626-3455",
"fax_number": "207-626-3612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "66 STONE ST",
"city": "AUGUSTA",
"state": "ME",
"postal_code": "043305227",
"telephone_number": "207-626-3455",
"fax_number": "207-626-3612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVIS",
"first_name": "OVIDIU",
"middle_name": "DAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "ME",
"license": "016322",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.