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PSYCHE REVIVE LLC
NPI 1376219402
Psychiatry & Neurology - Psychiatry in Lincroft, NJ

Active since August 18, 2021
4 SWIMMING RIVER RD STE 101, LINCROFT, NJ 07738(646) 708-3846 Get Directions Write a Review

NPPES record last updated: August 18, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Psyche Revive Llc NPPES

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

PSYCHE REVIVE LLC (NPI 1376219402) is a healthcare organization registered as a psychiatry in Lincroft, New Jersey and active in the NPI registry since August 2021. The organization lists Stephen Jaeger, Founding Physician, as its authorized official.

NPPES Registry Identity

NPI1376219402
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NamePSYCHE REVIVE LLC
Location Address4 SWIMMING RIVER RD STE 101Lincroft, NJ 07738-1727
Mailing Address30 La Jolla CtHolmdel, NJ 07733-2520 · (347) 721-5590
Phone(646) 708-3846
Organization SubpartNo
Authorized OfficialStephen JaegerFounding Physician · (347) 721-5590
Enumeration DateAugust 18, 2021
NPPES CertifiedAugust 18, 2021
✔ NPI 1376219402 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.
4 SWIMMING RIVER RD STE 101, Lincroft, NJ 07738
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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

Other Providers at the Same Location NPPES 2

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

CAMPBELL COUNSELING LLC
Social Worker (Clinical)
4 SWIMMING RIVER RD STE 101
LINCROFT, NJ 07738
Monmouth County (732) 784-7869
DR. STEPHEN JOSPEH JAEGER JR. MD
Psychiatry & Neurology (Psychiatry)
4 SWIMMING RIVER RD STE 101
LINCROFT, NJ 07738
Monmouth County (646) 708-3846

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 Psyche Revive LLC's NPI number?

The NPI number for Psyche Revive LLC is 1376219402. It was assigned to this organization in the NPPES registry on August 18, 2021.

Where is Psyche Revive LLC located?

Psyche Revive LLC is located at 4 Swimming River Rd Ste 101, Lincroft, NJ 07738. The listed phone number is (646) 708-3846.

What is Psyche Revive LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Psyche Revive LLC was last updated on August 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.