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

Q: What is Revive Medical Group Ca PC's NPI number?

The NPI number for Revive Medical Group Ca PC is 1518724624. It was assigned to this organization in the NPPES registry on March 5, 2024.

Q: What is Revive Medical Group Ca PC's specialty?

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

Active since March 05, 2024

914 PINE ST, MOUNT SHASTA, CA 96067(203) 430-1321 Get Directions Write a Review

NPPES record last updated: March 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Revive Medical Group Ca Pc NPPES

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

REVIVE MEDICAL GROUP CA PC (NPI 1518724624) is a healthcare organization registered as a psychiatry in Mount Shasta, California and active in the NPI registry since March 2024. The organization lists Omar Ziyadeh, Ceo/manager, as its authorized official.

NPPES Registry Identity

NPI1518724624

Entity TypeOrganization

Primary Taxonomy2084P0800X

Legal Business NameREVIVE MEDICAL GROUP CA PC

Location Address914 PINE STMount Shasta, CA 96067-2143

Mailing Address81 Roanoke AveFairfield, CT 06824-6124 · (203) 430-1321

Phone(203) 430-1321

Organization SubpartNo

Authorized OfficialOmar ZiyadehCeo/manager · (203) 430-1321

Enumeration DateMarch 5, 2024

NPPES CertifiedMarch 5, 2024

✔ NPI 1518724624 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.

914 PINE ST, Mount Shasta, CA 96067

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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 20

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

ELAINE PATTERSON RDN

Dietitian, Registered

914 PINE ST
MOUNT SHASTA, CA 96067

Siskiyou County (530) 926-8405

PHILIP ZIMMERMAN CRNA

Nurse Anesthetist, Certified Registered

914 PINE ST
MOUNT SHASTA, CA 96067

Siskiyou County (612) 978-0940

ROBERT C BRUCKER C.R.N.A.

Nurse Anesthetist, Certified Registered

914 PINE ST
MOUNT SHASTA, CA 96067

Siskiyou County (530) 926-6111

ELIZABETH STELZ D O INC A MEDICAL CORPORATION

Family Medicine

914 PINE ST
MOUNT SHASTA, CA 96067

Siskiyou County (530) 926-6111

RICHARD INGLE MD INC

Obstetrics & Gynecology (Obstetrics)

914 PINE ST
MOUNT SHASTA, CA 96067

Siskiyou County (775) 304-7237

CHRISTOPHER JONES RACKOFF MD

Emergency Medicine

914 PINE ST, MERCY MEDICAL MT SHASTA
MT SHASTA, CA 96067

Siskiyou County (530) 926-6111

MOUNT EDDY EMERGENCY PHYSICIANS MEDICAL GROUP, INC.

Emergency Medicine

914 PINE ST
MOUNT SHASTA, CA 96067

Siskiyou County (330) 493-4443

DR. FRANK G LAIACONA PHARMD

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

914 PINE ST
MOUNT SHASTA, CA 96067

Siskiyou County (530) 859-2814

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 Revive Medical Group Ca PC's NPI number?

The NPI number for Revive Medical Group Ca PC is 1518724624. It was assigned to this organization in the NPPES registry on March 5, 2024.

Where is Revive Medical Group Ca PC located?

Revive Medical Group Ca PC is located at 914 Pine St, Mount Shasta, CA 96067. The listed phone number is (203) 430-1321.

What is Revive Medical Group Ca PC'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 Revive Medical Group Ca PC was last updated on March 5, 2024. 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.