Active NPI
Simha E Ravven, MD
- Forensic Psychiatry Physician
- Burlington, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychiatry Physician
- License
- 042.0012892
- Practice address
- 300 Flynn Ave
Burlington, VT 05401-5301 - Phone
- (802) 488-6000
- Fax
- (802) 488-6919
- NPI assigned
- Mar 28, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Psychiatry Physician | 2084F0202X | 051920 | CT | |
| Forensic Psychiatry Physician | 2084F0202X | 249895 | MA | |
| Psychiatry Physician | 2084P0800X | 051920 | CT | |
| Forensic Psychiatry Physician | 2084F0202X | 042.0012892 | VT | Primary |
Addresses
Primary practice location
300 Flynn Ave
Burlington, VT 05401-5301
Mailing address
102 S Winooski Ave
Burlington, VT 05401-7406
Phone (802) 488-6920
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Iowa, RJ & L Carver College of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
300 Flynn Ave
Burlington, VT 05401-5301
Phone (802) 488-6934
Hospital & facility affiliations
- Univ. of Vermont - Fletcher Allen Health Care
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051920 | CT | MD | Forensic Psychiatry Physician |
| 249895 | MA | MD | Forensic Psychiatry Physician |
| 042.0012892 | VT | MD | Forensic Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Howard Center Inc | Current | Accepting new patients | |
| Howard Center Inc | Current | Accepting new patients | |
| Hartford Hospital | Current | Accepting new patients | |
| Hartford Hospital | Psychiatry | Current | Accepting new patients |
| Brattleboro Retreat | Past | Accepting new patients |
Locations
200 Retreat Ave
Hartford, CT 06106
Phone (860) 545-7000
208 Flynn Ave
Ste 3J
Burlington, VT 05401
Phone (802) 488-6900
102 S Winooski Ave
Burlington, VT 05401
Phone (802) 488-6920
300 Flynn Ave
Burlington, VT 05401
Phone (802) 488-6934
Organizations & group practices 6
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.
-
- Developmentally Disabled Services Day Training Agency
- Burlington, VT
- NPI 1639267404
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1770696643
-
- Psychiatric Hospital
- Brattleboro, VT
- NPI 1730185232
-
- Methadone Clinic
- Burlington, VT
- NPI 1134346687
-
- Institutional Pharmacy
- Brattleboro, VT
- NPI 1295947950
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Burlington, VT
- NPI 1568419976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745884800000",
"number": "1629210281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 S WINOOSKI AVE",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054017406",
"telephone_number": "802-488-6920",
"fax_number": "802-488-6919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 FLYNN AVE",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054015301",
"telephone_number": "802-488-6000",
"fax_number": "802-488-6919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAVVEN",
"first_name": "SIMHA",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-28",
"last_updated": "2025-04-29",
"certification_date": "2025-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "2084F0202X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Forensic Psychiatry",
"state": "CT",
"license": "051920",
"primary": false
},
{
"code": "2084F0202X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Forensic Psychiatry",
"state": "MA",
"license": "249895",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CT",
"license": "051920",
"primary": false
},
{
"code": "2084F0202X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Forensic Psychiatry",
"state": "VT",
"license": "042.0012892",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; 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.