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REVIVE PSYCHIATRY, PLLC
NPI 1699647701
Nurse Practitioner - Psychiatric/Mental Health in Durant, OK

Active since September 18, 2025
720 BRYAN DR STE C, DURANT, OK 74701(580) 754-4164(580) 359-0468 Get Directions Write a Review

NPPES record last updated: September 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Revive Psychiatry, Pllc NPPES

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

REVIVE PSYCHIATRY, PLLC (NPI 1699647701) is a healthcare organization registered as a psychiatric/mental health in Durant, Oklahoma and active in the NPI registry since September 2025. The organization lists Jonathan Kaminar, Owner, as its authorized official.

NPPES Registry Identity

NPI1699647701
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameREVIVE PSYCHIATRY, PLLC
Location Address720 BRYAN DR STE CDurant, OK 74701-7032
Mailing Address720 Bryan Dr Ste CDurant, OK 74701-7032 · (580) 754-4164 · Fax (580) 359-0468
Phone(580) 754-4164
Fax(580) 359-0468
Organization SubpartNo
Authorized OfficialJonathan KaminarOwner · (580) 754-4164
Enumeration DateSeptember 18, 2025
Last NPPES UpdateSeptember 26, 2025
NPPES CertifiedSeptember 26, 2025
✔ NPI 1699647701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
720 BRYAN DR STE C, Durant, OK 74701
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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

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 Psychiatry, PLLC's NPI number?

The NPI number for Revive Psychiatry, PLLC is 1699647701. It was assigned to this organization in the NPPES registry on September 18, 2025.

Where is Revive Psychiatry, PLLC located?

Revive Psychiatry, PLLC is located at 720 Bryan Dr Ste C, Durant, OK 74701. The listed phone number is (580) 754-4164.

What is Revive Psychiatry, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Revive Psychiatry, PLLC was last updated on September 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.