Active NPI
Jose Oscar Mantilla-Rivas
- Psychiatry Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD477620
- Practice address
- 6501 Arlington Expressway
B105#7069
Jacksonville, FL 32211-5779 - Phone
- (904) 201-9110
- Fax
- (757) 432-3134
- NPI assigned
- Aug 27, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC009876 | PA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | MT215100 | PA | |
| Psychiatry Physician | 2084P0800X | MD477620 | PA | Primary |
Addresses
Primary practice location
6501 Arlington Expressway
B105#7069
Jacksonville, FL 32211-5779
Mailing address
6501 Arlington Expressway
B105#7069
Jacksonville, FL 32211
Phone (904) 201-9110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.9 of 100
- Quality
- 85.02
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD477620 | PA | MD | Psychiatry Physician |
| MT215100 | PA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allegheny Clinic | Professional | Current | Accepting new patients |
| Psychiatry by Mantilla-Rivas | Current | Accepting new patients | |
| Jefferson Regional Medical Center | Professional | Current | Accepting new patients |
| Allegheny Clinic | Current | Accepting new patients | |
| Allegheny Clinic | Current | Accepting new patients | |
| Jefferson Regional Medical Center | Current | Accepting new patients | |
| Allegheny Clinic | Past | Accepting new patients |
Locations
565 N Lewis Run Rd
Jefferson Hills, PA 15025
Phone (412) 469-3200
4 Allegheny Ctr
Fl 7
Pittsburgh, PA 15212
4 Allegheny Ctr
Fl 8
Pittsburgh, PA 15212
Phone (412) 330-4242
810 Clairton Blvd
Pleasant Hills, PA 15236
Phone (412) 466-5004
701 Broad St
Ste 431
Sewickley, PA 15143
Phone (412) 741-0966
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Bethel Park, PA
- NPI 1073081493
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Jacksonville, FL
- NPI 1598622656
-
- Primary Care Clinic/Center
- Pittsburgh, PA
- NPI 1215752548
-
- Rehabilitation Hospital Unit
- Clairton, PA
- NPI 1013985126
-
- Neurology Physician
- Pittsburgh, PA
- NPI 1821098260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767830400000",
"number": "1619458676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6501 ARLINGTON EXPRESSWAY",
"address_2": "B105#7069",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "32211",
"telephone_number": "904-201-9110",
"fax_number": "757-432-3134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6501 ARLINGTON EXPRESSWAY",
"address_2": "B105#7069",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322115779",
"telephone_number": "904-201-9110",
"fax_number": "757-432-3134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANTILLA-RIVAS",
"first_name": "JOSE",
"middle_name": "OSCAR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-08-27",
"last_updated": "2026-01-08",
"certification_date": "2026-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC009876",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PA",
"license": "MT215100",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD477620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.