Individual provider Active NPI

Charles Ventriglia, MD

  • Psychiatry Physician
  • Denver, CO
National Provider Identifier
1619437696
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
72274 Issued in CO
Practice address
1500 N Grant St Ste R
Denver, CO 80203-1747
Phone
(617) 518-1302
Fax
(312) 598-1510
NPI assigned
Mar 25, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 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 292520 MA
Psychiatry Physician 2084P0800X 72274 CO Primary

Addresses

Primary practice location

1500 N Grant St Ste R
Denver, CO 80203-1747

Mailing address

PO Box 40091
Denver, CO 80204-0091
Phone (617) 518-1302

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221220002590 MA Practitioner - Psychiatry 2961835335 Reassigns benefits to 2 organizations
I20240719000223 CO Practitioner - Psychiatry 2961835335 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Colorado School of Medicine, Aurora, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

720 S Colorado Blvd
PH North
Denver, CO 80246-1904
Phone (844) 843-7279

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
72274COMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lumin Health PG Psychiatry CurrentSince Nov 15, 2022 Accepting new patients
Mass General Brigham Medical Group Suburban Massachusetts Inc CurrentSince Dec 29, 2022 Accepting new patients
Sondermind Provider Network LLC Psychiatry CurrentSince Aug 1, 2025 Accepting new patients
Boulder Community Health Past Accepting new patients

Locations

720 S Colorado Blvd
Ph N
Glendale, CO 80246
Phone (833) 988-0589

53 Langley Rd
Ste 250
Newton Center, MA 02459
Phone (617) 863-8810

10 Langley Rd
Ste 200
Newton Centre, MA 02459
Phone (617) 863-8810

2014 Washington St
Newtonville, MA 02462
Phone (617) 243-6000

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1619437696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40091",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802040091",
            "telephone_number": "617-518-1302",
            "fax_number": "312-598-1510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N GRANT ST STE R",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802031747",
            "telephone_number": "617-518-1302",
            "fax_number": "312-598-1510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENTRIGLIA",
        "first_name": "CHARLES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-25",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "292520",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "72274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.