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REVIVE MEDICAL GROUP MI PC
NPI 1679304893
Psychiatry & Neurology - Psychiatry in Newaygo, MI

Active since August 09, 2024
231 W PINE LAKE DR, NEWAYGO, MI 49337(203) 430-1321 Get Directions Write a Review

NPPES record last updated: August 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Revive Medical Group Mi Pc NPPES

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

REVIVE MEDICAL GROUP MI PC (NPI 1679304893) is a healthcare organization registered as a psychiatry in Newaygo, Michigan and active in the NPI registry since August 2024. The organization lists Omar Ziyadeh, Ceo/program Manager, as its authorized official.

NPPES Registry Identity

NPI1679304893
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameREVIVE MEDICAL GROUP MI PC
Location Address231 W PINE LAKE DRNewaygo, MI 49337-9264
Mailing Address81 Roanoke AveFairfield, CT 06824-6124 · (203) 430-1321
Phone(203) 430-1321
Organization SubpartNo
Authorized OfficialOmar ZiyadehCeo/program Manager · (203) 430-1321
Enumeration DateAugust 9, 2024
NPPES CertifiedAugust 9, 2024
✔ NPI 1679304893 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.
231 W PINE LAKE DR, Newaygo, MI 49337
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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 7

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

COMMUNITY PACE AT HOME, INC
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
231 W PINE LAKE DR
NEWAYGO, MI 49337
Newaygo County (616) 617-7565
GRANDVIEW FOOT AND ANKLE PC
Podiatrist
231 W PINE LAKE DR, SUITE NUMBER 102
NEWAYGO, MI 49337
Newaygo County (231) 652-5955
RMG MICHIGAN PC
Psychiatry & Neurology (Psychiatry)
231 W PINE LAKE DR
NEWAYGO, MI 49337
Newaygo County (231) 652-4618
KALA STUART
Social Worker (Clinical)
231 W PINE LAKE DR
NEWAYGO, MI 49337
Newaygo County (231) 652-4618
MICHELLE JAYME KLOSS DNP, APRN, AGNP-BC
Nurse Practitioner (Gerontology)
231 W PINE LAKE DR
NEWAYGO, MI 49337
Newaygo County (231) 652-4107
SUE ANN SMALLEY RDN
Dietitian, Registered
231 W PINE LAKE DR
NEWAYGO, MI 49337
Newaygo County (231) 652-4618
MRS. TANJA FREDERICK LLMSW
Social Worker
231 W PINE LAKE DR
NEWAYGO, MI 49337
Newaygo County (231) 652-4618

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 Mi PC's NPI number?

The NPI number for Revive Medical Group Mi PC is 1679304893. It was assigned to this organization in the NPPES registry on August 9, 2024.

Where is Revive Medical Group Mi PC located?

Revive Medical Group Mi PC is located at 231 W Pine Lake Dr, Newaygo, MI 49337. The listed phone number is (203) 430-1321.

What is Revive Medical Group Mi 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 Mi PC was last updated on August 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.