Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
REVIVAL PSYCHIATRY AND KETAMINE CLINIC
Active OrganizationREVIVAL PSYCHIATRY AND KETAMINE CLINIC is a Psychiatric/Mental Health Nurse Practitioner organization located in MESA, Arizona. NPI 1235847286 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · MESA, AZ
Registration Details
- NPI Number
- 1235847286
- Provider Type
- Organization
- NPI Issued
- Nov 8, 2022 (3.76609869611 yrs)
- Last Updated
- Nov 8, 2022
Practice Information
- Address
-
1220 S ALMA SCHOOL RD STE 212MESA, AZ, 852102087Browse AZ providers · Browse ZIP 85210
- Phone
- 4806138162
- Fax
- 4809008654
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
Other Psychiatric/Mental Health Nurse Practitioner Organizations in MESA, AZ
| Name | NPI |
|---|---|
| SHOSAMANA | 1942403076 |
| CARMEN TRAILL PLLC | 1558503813 |
| CAPSTONE MENTAL HEALTH INC | 1508320664 |
| MON AMI GROUP HOME | 1215588629 |
| SUMMIT PLACE MENTAL HEALTH, LLC | 1639713621 |
| FOOTHILLS PSYCHIATRIC SERVICES PLLC | 1750901088 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.