REVIVE MEDICAL GROUP CA PC
NPI 1518724624
Psychiatry & Neurology - Psychiatry in Mount Shasta, CA

NPI Status: Active since March 05, 2024

Contact Information

914 PINE ST
MOUNT SHASTA, CA
ZIP 96067
Phone: (203) 430-1321

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  • Organization
  • Psychiatry & Neurology
  • Psychiatry

About REVIVE MEDICAL GROUP CA PC

This page provides the complete NPI Profile along with additional information for Revive Medical Group Ca Pc, a provider established in Mount Shasta, California operating as a Psychiatry & Neurology, focusing in psychiatry . The healthcare provider is registered in the NPI registry with number 1518724624 assigned on March 2024. The practitioner's primary taxonomy code is 2084P0800X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Omar Ziyadeh (Ceo/manager)

NPI
1518724624
Provider Name
REVIVE MEDICAL GROUP CA PC
Entity Type
Organization
Location Address
914 PINE ST MOUNT SHASTA, CA 96067
Location Phone
(203) 430-1321
Mailing Address
81 ROANOKE AVE FAIRFIELD, CT 06824
Mailing Phone
(203) 430-1321
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-05-2024
Last Update Date
03-05-2024
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A psychiatrist like Revive Medical Group Ca Pc 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.

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
CEO/MANAGER
Authorized Official Phone
(203) 430-1321

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1518724624, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
1
Doubled → 2
Pos 4
8
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
2
Unchanged
Pos 7
4
Doubled → 8
Pos 8
6
Unchanged
Pos 9
2
Doubled → 4
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 7 → 14 → 5 4 → 8 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 2 + 8 + 1 + 4 + 2 + 8 + 6 + 4 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1518724624.

Other Providers at the Same Location


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

Nurse Anesthetist, Certified Registered
914 PINE ST
MOUNT SHASTA, CA 96067
Orthopaedic Surgery
914 PINE ST
MOUNT SHASTA, CA 96067
Orthopaedic Surgery
914 PINE ST
MOUNT SHASTA, CA 96067
Emergency Medicine
914 PINE ST
MOUNT SHASTA, CA 96067
Family Medicine
914 PINE ST
MOUNT SHASTA, CA 96067
Internal Medicine
914 PINE ST
MOUNT SHASTA, CA 96067
Family Medicine
914 PINE ST
MOUNT SHASTA, CA 96067
Internal Medicine
914 PINE ST
MOUNT SHASTA, CA 96067
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
914 PINE ST
MOUNT SHASTA, CA 96067
Pharmacy (Institutional Pharmacy)
914 PINE ST
MOUNT SHASTA, CA 96067
Hospice Care, Community Based
914 PINE ST
MOUNT SHASTA, CA 96067
Emergency Medicine
914 PINE ST
MOUNT SHASTA, CA 96067
Dietitian, Registered
914 PINE ST
MOUNT SHASTA, CA 96067
Radiology (Diagnostic Radiology)
914 PINE ST
MT SHASTA, CA 96067
Radiologic Technologist
914 PINE ST
MOUNT SHASTA, CA 96067
Radiologic Technologist
914 PINE ST
MOUNT SHASTA, CA 96067
Speech-Language Pathologist
914 PINE ST
MOUNT SHASTA, CA 96067
Emergency Medicine
914 PINE ST, MERCY MEDICAL MT SHASTA
MT SHASTA, CA 96067
Skilled Nursing Facility
914 PINE ST
MOUNT SHASTA, CA 96067
Emergency Medicine
914 PINE ST
MOUNT SHASTA, CA 96067

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1518724624, enumerated as an "organization" on March 05, 2024.

The provider is located at 914 PINE ST MOUNT SHASTA, CA 96067 and the phone number is (203) 430-1321.

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