ORANGE COUNTY REVIVE SERVICES, INC.
NPI 1306543962
Clinic/Center - Mental Health (Including Community Mental Health Center) in Lake Forest, CA
About Orange County Revive Services, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ORANGE COUNTY REVIVE SERVICES, INC. (NPI 1306543962) is a healthcare organization registered as a mental health (including community mental health center) in Lake Forest, California and active in the NPI registry since February 2023. The organization lists Tyler Michaelis, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAKE FOREST, CA 92630
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 Orange County Revive Services, Inc.'s NPI number?
The NPI number for Orange County Revive Services, Inc. is 1306543962. It was assigned to this organization in the NPPES registry on February 14, 2023.
Where is Orange County Revive Services, Inc. located?
Orange County Revive Services, Inc. is located at 23726 Birtcher Dr, Lake Forest, CA 92630. The listed phone number is (949) 606-4681.
What is Orange County Revive Services, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
When was this NPI record last updated?
The NPPES record for Orange County Revive Services, Inc. was last updated on February 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Orange County Revive Services, Inc. · NPI 1306543962
Mental Health (Including Community Mental Health Center) organization in Lake Forest, California. Organization record, active in the CMS NPPES registry since February 14, 2023.
## Identity
- **NPI:** 1306543962 (Entity type: Organization)
- **Enumerated:** February 14, 2023
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** Yes (part of Orange County Revive Services, Inc.)
- **Authorized official:** Tyler Michaelis, CEO
## Practice location
- **Address:** 23726 BIRTCHER DR, Lake Forest, CA 92630-1771
- **Phone:** (949) 606-4681
## Record status
- **NPPES last updated:** February 14, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1306543962) · Data from the CMS NPPES public registry.