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

NPI Status: Active since April 07, 2021

Contact Information

1600 N 2ND ST
CLINTON, MO
ZIP 64735
Phone: (203) 430-1321

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  • Organization
  • Psychiatry & Neurology
  • Psychiatry
  • Accepts Insurance

About REVIVE MEDICAL GROUP, P.C.

This page provides the complete NPI Profile along with additional information for Revive Medical Group, P.c., a provider established in Clinton, Missouri operating as a Psychiatry & Neurology, focusing in psychiatry . The healthcare provider is registered in the NPI registry with number 1033798871 assigned on April 2021. The practitioner's primary taxonomy code is 2084P0800X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Omar Ziyadeh (Pc Manager)

NPI
1033798871
Provider Name
REVIVE MEDICAL GROUP, P.C.
Entity Type
Organization
Location Address
1600 N 2ND ST CLINTON, MO 64735
Location Phone
(203) 430-1321
Mailing Address
810 REEF RD FAIRFIELD, CT 06824
Mailing Phone
(203) 430-1321
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-07-2021
Last Update Date
04-13-2021
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A psychiatrist like Revive Medical Group, P.c. are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Psychiatry

Taxonomy Code
2084P0800X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Bronze Pathway 9200 (+ Incentives) - EPO
  • Anthem Catastrophic Pathway 9200 (+ Incentives) - EPO
  • Anthem Gold Pathway 1500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Heart Healthy Bronze Pathway 4900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Heart Healthy Silver Pathway 2900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Silver Pathway 5000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Silver Pathway 5350 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Silver Pathway 7250 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

OMAR ZIYADEH

Authorized Official Title
PC MANAGER
Authorized Official Phone
(203) 430-1321

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1033798871
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
206314916814
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 6 + 3 + 1 + 4 + 9 + 1 + 6 + 8 + 1 + 4 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1033798871 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

GOLDEN VALLEY EMERGENCY PHYSICIANS, LLC

Emergency Medicine

1600 N 2ND ST
CLINTON, MO
ZIP 64735

(660) 885-6690

RICHARD A KIMMELL MD

Emergency Medicine

1600 N 2ND ST
CLINTON, MO
ZIP 64735

(660) 885-6690

MR. CRAIG AARON THOMPSON PT

Physical Therapist

1600 N 2ND ST
CLINTON, MO
ZIP 64735

(660) 885-5511

AMY J OWEN M.D.

Pathology

(Anatomic Pathology & Clinical Pathology)

1600 N 2ND ST
CLINTON, MO
ZIP 64735

(660) 890-7174

LISA SHAREE SALAZAR P.T.A.

Physical Therapy Assistant

1600 N 2ND ST
CLINTON, MO
ZIP 64735

(660) 890-7190

GOLDEN VALLEY MEMORIAL HOSPITAL DISTRICT

Rehabilitation Unit

1600 N 2ND ST
CLINTON, MO
ZIP 64735

(660) 890-7103

MR. RANDY SHANE JOHNSON MSPT

Physical Therapist

1600 N 2ND ST
CLINTON, MO
ZIP 64735

(660) 890-7190

CYNTHIA BARRON BROUK R.D., L.D.

Dietitian, Registered

1600 N 2ND ST
CLINTON, MO
ZIP 64735

(660) 890-7094

MS. CATHRYN RAE BARTH RD

Dietitian, Registered

1600 N 2ND ST
CLINTON, MO
ZIP 64735

(660) 885-5511

PHILLIP HICKS

Anesthesiology

1600 N 2ND ST
CLINTON, MO
ZIP 64735

(660) 890-7103

DEBRA L WOODS RN

Registered Nurse

1600 N 2ND ST
CLINTON, MO
ZIP 64735

(660) 890-7341

LINDA DIANNE COOK RN

Registered Nurse

1600 N 2ND ST
CLINTON, MO
ZIP 64735

(660) 890-7341

SHERRY ANN LOUDERMILK-COLLINS RD

Dietitian, Registered

1600 N 2ND ST
CLINTON, MO
ZIP 64735

(660) 885-5511

ANESTHESIA CONSULTANTS OF PETTIS COUNTY, PC

Anesthesiology

1600 N 2ND ST
CLINTON, MO
ZIP 64735

(888) 447-7220

MR. LARRY V DAVISON R. PH.

Pharmacist

1600 N 2ND ST
CLINTON, MO
ZIP 64735

(660) 885-5511

MR. MARK DEWITT PETERS RPH.

Pharmacist

1600 N 2ND ST
CLINTON, MO
ZIP 64735

(660) 885-5511

MR. DONALD ROBERT NELSON RPH

Pharmacist

1600 N 2ND ST
CLINTON, MO
ZIP 64735

(660) 885-5511

MISS JETTIE IAN BAILEY BSN RN CWON

Registered Nurse

(Diabetes Educator)

1600 N 2ND ST
CLINTON, MO
ZIP 64735

(660) 885-5511

DAVID ALAN RIVAS MSW

Social Worker

1600 N 2ND ST
CLINTON, MO
ZIP 64735

(660) 890-5511

JEANNA MICHELLE THOMAS DPT

Physical Therapist

1600 N 2ND ST
CLINTON, MO
ZIP 64735

(660) 890-7190

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033798871, enumerated as an "organization" on April 07, 2021.

The provider is located at 1600 N 2ND ST CLINTON, MO 64735 and the phone number is (203) 430-1321.

Psychiatry & Neurology with taxonomy code 2084P0800X and a focus in Psychiatry.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to verify.