Individual provider Active NPI

Aurora Rivendale

  • Psychiatry Physician
  • Cincinnati, OH
National Provider Identifier
1619364932
Registry record updated Nov 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35139132 Issued in OH
Practice address
3120 Burnet Ave Ste 406
Cincinnati, OH 45229-3022
Phone
(513) 584-8600
Fax
(513) 584-8619
NPI assigned
Apr 24, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 57.026663 OH
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X 35139132 OH Primary

Addresses

Primary practice location

3120 Burnet Ave Ste 406
Cincinnati, OH 45229-3022

Mailing address

3120 Burnet Ave Ste 406
Cincinnati, OH 45229-3022
Phone (513) 584-8619

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20200730000750 OH Practitioner - PsychiatryPractitioner - Family Practice 4082926191 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Family Practice
Education
University of Maryland School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Cincinnati Physicians Company LLCGroup PAC ID 2264344480, 1,474 clinicians

Practice addresses (Care Compare)

3120 Burnet Ave
Suite 406
Cincinnati, OH 45229-3022
Phone (513) 584-8600

Hospital & facility affiliations

  • University of Cincinnati Medical Center, LLC Hospital, Cincinnati, OH, CCN 360003

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57.026663OHMDFamily Medicine Physician
35139132OHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Cincinnati Physicians Company, LLC Family Medicine CurrentSince Sep 21, 2020 Accepting new patients
The Christ Hospital Medical Associates, LLC Family Medicine CurrentSince Dec 1, 2024 Accepting new patients
University of Cincinnati Medical Center, LLC Past Accepting new patients

Locations

2830 Victory Pkwy
Cincinnati, OH 45206
Phone (513) 245-3335

2123 Auburn Ave
#200
Cincinnati, OH 45219
Phone (513) 321-0833

3120 Burnet Ave
Ste 406
Cincinnati, OH 45229
Phone (513) 558-7700

260 Stetson St
Ste 3200
Cincinnati, OH 45219
Phone (513) 475-8710

2123 Auburn Ave
Ste 235
Cincinnati, OH 45219
Phone (513) 585-3238

3188 Bellevue Ave
Cincinnati, OH 45219
Phone (513) 558-5281

3120 Burnet Ave
Cincinnati, OH 45229
Phone (513) 584-8600

3120 Burnet Ave
Ste 304
Cincinnati, OH 45229
Phone (513) 585-6663

2123 Auburn Ave
#A28
Cincinnati, OH 45219
Phone (513) 585-0523

7675 Wellness Way
West Chester, OH 45069
Phone (513) 475-7400

Interoperability endpoints

  • Direct secure messaging: arivendale125789@direct.uchealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1429833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637280000000",
    "number": "1619364932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 BURNET AVE STE 406",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452293022",
            "telephone_number": "513-584-8619",
            "fax_number": "513-558-3477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 BURNET AVE STE 406",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452293022",
            "telephone_number": "513-584-8600",
            "fax_number": "513-584-8619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVENDALE",
        "first_name": "AURORA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-24",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "57.026663",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35139132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.