Individual provider Active NPI

Julio Alberto Riascos, M.D.

  • Psychiatry Physician
  • Brooklyn, NY
National Provider Identifier
1801179668
Registry record updated Jul 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
268315 Issued in NY
Practice address
506 6TH St
Brooklyn, NY 11215-3609
Phone
(718) 780-3000
NPI assigned
Sep 27, 2011
Last updated
Jul 18, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 268315 NY Primary
Psychiatry Physician 2084P0800X 62436 CT
Child & Adolescent Psychiatry Physician 2084P0804X ME115860 FL

Addresses

Primary practice location

506 6TH St
Brooklyn, NY 11215-3609

Mailing address

1541 Brickell Ave
Miami, FL 33129-1213
Phone (718) 450-0809

Other practice location 1

5664 SW 60th Ave
Ocala, FL 34474-5677
Phone (352) 291-5555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY2 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
I20171127001359 FL Practitioner - Psychiatry 0446517676 Reassigns benefits to 1 organization
I20200117001675 NY Practitioner - Psychiatry 0446517676 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME115860FLMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Current Accepting new patients
Tallahassee Memorial Healthcare Inc CurrentSince Oct 2, 2017 Accepting new patients
Shannon James Nurse Practitioner in Psychiatry P.C CurrentSince Jan 1, 2024 Accepting new patients
Tallahassee Memorial Healthcare Inc Current Accepting new patients
The Eden Center for Integrative Care CurrentSince Jan 1, 2024 Accepting new patients
Tallahassee Memorial Healthcare Inc Psychiatry CurrentSince Oct 2, 2017 Accepting new patients

Locations

1309 Thomasville Rd
Tallahassee, FL 32303
Phone (850) 431-5910

1616 Physicians Dr
Tallahassee, FL 32308
Phone (850) 431-5105

84 Broad St
Ste 2
Glens Falls, NY 12801
Phone (518) 636-5284

Interoperability endpoints

  • Direct secure messaging: julioriascos@mai.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1317081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563408000000",
    "number": "1801179668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1541 BRICKELL AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331291213",
            "telephone_number": "718-450-0809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 6TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112153609",
            "telephone_number": "718-780-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5664 SW 60th Ave",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344745677",
            "country_code": "US",
            "telephone_number": "352-291-5555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIASCOS",
        "first_name": "JULIO",
        "middle_name": "ALBERTO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-27",
        "last_updated": "2019-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "268315",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "62436",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "ME115860",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.