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REVIVE MEDICAL GROUP, P.C.
NPI 1033798871
Psychiatry & Neurology - Psychiatry in Clinton, MO

Active since April 07, 2021
1600 N 2ND ST, CLINTON, MO 64735(203) 430-1321 Get Directions Write a Review

NPPES record last updated: April 13, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 13, 2021, Apr 7, 2021 (2 updates tracked since 2021).

About Revive Medical Group, P.c. NPPES

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

REVIVE MEDICAL GROUP, P.C. (NPI 1033798871) is a healthcare organization registered as a psychiatry in Clinton, Missouri and active in the NPI registry since April 2021. The organization lists Omar Ziyadeh, Pc Manager, as its authorized official.

NPPES Registry Identity

NPI1033798871
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameREVIVE MEDICAL GROUP, P.C.
Location Address1600 N 2ND STClinton, MO 64735-1192
Mailing Address810 Reef RdFairfield, CT 06824-6538 · (203) 430-1321
Phone(203) 430-1321
Organization SubpartNo
Authorized OfficialOmar ZiyadehPc Manager · (203) 430-1321
Enumeration DateApril 7, 2021
Last NPPES UpdateApril 13, 20212 updates tracked since enumeration
NPPES CertifiedApril 13, 2021
✔ NPI 1033798871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
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.
1600 N 2ND ST, Clinton, MO 64735
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BETH ANN HAKALA D.O., PH.D.
Emergency Medicine
1600 N 2ND ST
CLINTON, MO 64735
Henry County (660) 885-5511
KARL J. HAAKE MD
Anesthesiology (Pain Medicine)
1600 N 2ND ST
CLINTON, MO 64735
Henry County (913) 261-9081
DR. JOHN CURRIER BROWN M.D.
Emergency Medicine (Emergency Medical Services)
1600 N 2ND ST
CLINTON, MO 64735
Henry County (660) 885-5511
LISA E SUSUNAGA RN
Registered Nurse
1600 N 2ND ST
CLINTON, MO 64735
Henry County (660) 885-5511
PHILLIP HICKS
Anesthesiology
1600 N 2ND ST
CLINTON, MO 64735
Henry County (660) 890-7103
DR. SUMMER D BRYANT M.D.
Pediatrics
1600 N 2ND ST
CLINTON, MO 64735
Henry County (660) 885-5511
MO-I MEDICAL SERVICES LLC
Emergency Medicine
1600 N 2ND ST
CLINTON, MO 64735
Henry County (469) 401-2386
JEFFREY D SPITLER CRNA
Nurse Anesthetist, Certified Registered
1600 N 2ND ST
CLINTON, MO 64735
Henry County (660) 890-5511

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 Revive Medical Group, P.C.'s NPI number?

The NPI number for Revive Medical Group, P.C. is 1033798871. It was assigned to this organization in the NPPES registry on April 7, 2021.

Where is Revive Medical Group, P.C. located?

Revive Medical Group, P.C. is located at 1600 N 2nd St, Clinton, MO 64735. The listed phone number is (203) 430-1321.

What is Revive Medical Group, P.C.'s specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

What insurance does Revive Medical Group, P.C. accept?

Health plans from Anthem Blue Cross and Blue Shield list Revive Medical Group, P.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Revive Medical Group, P.C. was last updated on April 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.