Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JOSE FELIX REVOLLO
NPI 1013553502
Nurse Practitioner - Psychiatric/Mental Health in Fort Washington, MD

Q: What is Jose Revollo's NPI number?

The NPI number for Jose Revollo is 1013553502. It was assigned to this individual provider in the NPPES registry on November 20, 2019.

Q: What is Jose Revollo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Jose Revollo was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 20, 2019

703 CLAMOR CT, FORT WASHINGTON, MD 20744(201) 757-4005 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 8, 2026, Jun 4, 2026, Nov 20, 2019 (3 updates tracked since 2019).

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About Jose Felix Revollo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOSE FELIX REVOLLO (NPI 1013553502) is an individual psychiatric/mental health provider in Fort Washington, Maryland, licensed in Maryland (R239041) and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1013553502

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameJOSE FELIX REVOLLO

Location Address703 CLAMOR CTFort Washington, MD 20744-5170

Mailing Address703 Clamor CtFort Washington, MD 20744-5170 · (201) 757-4005

Phone(201) 757-4005

Sole ProprietorYes

Enumeration DateNovember 20, 2019

Last NPPES UpdateJuly 8, 20263 updates tracked since enumeration

NPPES CertifiedJuly 8, 2026

✔ NPI 1013553502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in MD · R239041

Also ListedRegistered NurseTaxonomy 163W00000X · License R239041 (MD)

703 CLAMOR CT, Fort Washington, MD 20744

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jose Revollo's NPI number?

The NPI number for Jose Revollo is 1013553502. It was assigned to this individual provider in the NPPES registry on November 20, 2019.

Where is Jose Revollo located?

Jose Revollo practices at 703 Clamor Ct, Fort Washington, MD 20744. The listed phone number is (201) 757-4005.

What is Jose Revollo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Jose Revollo was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.