Jose Mantilla-rivas
Jose Mantilla-rivas is a Psychiatry Physician in Jacksonville, FL, registered under NPI 1619458676. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 6501 ARLINGTON EXPRESSWAY B105#7069, Jacksonville, FL 32211. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| MD477620 | PA | Psychiatry Physician primary |
| PC009876 | PA | Professional Counselor |
| MT215100 | PA | Student in an Organized Health Care… |
This provider holds licence MD477620 issued in PA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Psychiatry
- PAC ID
- 7113384785
- Enrollment ID
- I20230613002409
Medicare enrolment is recorded as approved under the provider type Practitioner - Psychiatry. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Psychiatry covers
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. NUCC Health Care Provider Taxonomy, code 2084P0800X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2084P0800X | Psychiatry Physician Psychiatry | MD477620 | PA | primary |
| 101YP2500X | Professional Counselor Professional | PC009876 | PA | |
| 390200000X | Student in an Organized Health Care Education/Training Program | MT215100 | PA |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1619458676 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Aug 27, 2018 |
| Last updated | Jan 8, 2026 |
| Status | Active |
| Sole proprietor | Yes |
| Practice address |
6501 ARLINGTON EXPRESSWAY B105#7069 Jacksonville, FL 32211 (904) 201-9110 Fax (757) 432-3134 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 6 | 1 | 9 | 4 | 5 | 8 | 6 | 7 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 6 | 2 | 9 | 8 | 5 | 7 | 6 | 5 |
Sum = 74 · next multiple of 10 = 80 · check digit = 6 · actual last digit = 6
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.