Individual provider Active NPI

Jesse Levine Ritvo, MD

  • Psychiatry Physician
  • Montpelier, VT
National Provider Identifier
1558480707
Registry record updated Dec 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
042-0011952 Issued in VT
Practice address
132 Main St
Montpelier, VT 05602-3226
Phone
(802) 229-5115
Fax
(802) 229-5013
NPI assigned
Mar 28, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 042-0011952 VT Primary

Addresses

Primary practice location

132 Main St
Montpelier, VT 05602-3226

Mailing address

132 Main St
Montpelier, VT 05602-3226
Phone (802) 229-5115

Other identifiers 1

IdentifierTypeStateIssuer
1017550MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100622000039 VT Practitioner - Psychiatry 8325179252 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Vermont Medical Center IncGroup PAC ID 9335138817, shared by 4 NPIs, 233 clinicians

Practice addresses (Care Compare)

130 Fisher Rd
Barre, VT 05641-9004
Phone (802) 371-4235

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
042-0011952VTMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Vermont Medical Center Inc CurrentSince Feb 1, 2025 Accepting new patients
Central Vermont Medical Center Inc Psychiatry CurrentSince May 4, 2010 Accepting new patients
Central Vermont Medical Center Inc Psychiatry Current Accepting new patients
Vermont Center for Integrative Therapy, LLC Past Accepting new patients
Central Vermont Medical Center Inc Past Accepting new patients

Locations

130 Fisher Rd
Barre, VT 05641
Phone (802) 371-4235

130 Fisher Rd
Berlin, VT 05602
Phone (802) 225-5820

130 Fisher Rd
#C
Berlin, VT 05602
Phone (802) 225-5400

1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531

111 Colchester Ave
Burlington, VT 05401
Phone (802) 656-2415

160 Allen St
Rutland, VT 05701

Interoperability endpoints

  • Direct secure messaging: jritvo9222@direct.uvmhealth.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292544000000",
    "number": "1558480707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 MAIN ST",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056023226",
            "telephone_number": "802-229-5115",
            "fax_number": "802-229-5013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 MAIN ST",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056023226",
            "telephone_number": "802-229-5115",
            "fax_number": "802-229-5013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RITVO",
        "first_name": "JESSE",
        "middle_name": "LEVINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2010-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VT",
            "license": "042-0011952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1017550",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montpelier, VT

Sources for this page

Verify at the official NPI Registry.