1. Home
  2. Directory
  3. Florida
  4. Auburndale
  5. Nurse Practitioner
  6. NPI Profile

MIND REVIVE PSYCHIATRY LLC
NPI 1285230185
Nurse Practitioner in Auburndale, FL

Active since December 07, 2020
1863 SKYVIEW DR, AUBURNDALE, FL 33823(407) 561-2500 Get Directions Write a Review

NPPES record last updated: August 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 22, 2023, Dec 7, 2020 (2 updates tracked since 2020).

About Mind Revive Psychiatry Llc NPPES

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

MIND REVIVE PSYCHIATRY LLC (NPI 1285230185) is a healthcare organization registered as a nurse practitioner in Auburndale, Florida and active in the NPI registry since December 2020. The organization lists Marcus L Robinson, Psychiatric Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1285230185
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameMIND REVIVE PSYCHIATRY LLC
Location Address1863 SKYVIEW DRAuburndale, FL 33823-5445
Mailing AddressPo Box 640Auburndale, FL 33823-0640 · (407) 561-2500 · Fax (833) 410-2620
Phone(407) 561-2500
Organization SubpartNo
Authorized OfficialMarcus L RobinsonPsychiatric Nurse Practitioner · (863) 399-2664
Enumeration DateDecember 7, 2020
Last NPPES UpdateAugust 22, 20232 updates tracked since enumeration
NPPES CertifiedAugust 22, 2023
✔ NPI 1285230185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X
1863 SKYVIEW DR, Auburndale, FL 33823
Open in Google Maps ↗

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 Mind Revive Psychiatry LLC's NPI number?

The NPI number for Mind Revive Psychiatry LLC is 1285230185. It was assigned to this organization in the NPPES registry on December 7, 2020.

Where is Mind Revive Psychiatry LLC located?

Mind Revive Psychiatry LLC is located at 1863 Skyview Dr, Auburndale, FL 33823. The listed phone number is (407) 561-2500.

What is Mind Revive Psychiatry LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Mind Revive Psychiatry LLC was last updated on August 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.