REVITALIZE PSYCHIATRY, PLLC
NPI 1720792799
Clinic/Center - Mental Health (Including Community Mental Health Center) in Charlotte, NC

Q: What is Revitalize Psychiatry, PLLC's NPI number?

The NPI number for Revitalize Psychiatry, PLLC is 1720792799. It was assigned to this organization in the NPPES registry on January 13, 2023.

Q: What is Revitalize Psychiatry, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Active since January 13, 2023

11220 ELM LN STE 203-9, CHARLOTTE, NC 28277(704) 459-2181(704) 533-9516 Get Directions Write a Review

NPPES record last updated: April 2, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 2, 2023, Jan 13, 2023 (2 updates tracked since 2023).

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About Revitalize Psychiatry, Pllc NPPES

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

REVITALIZE PSYCHIATRY, PLLC (NPI 1720792799) is a healthcare organization registered as a mental health (including community mental health center) in Charlotte, North Carolina and active in the NPI registry since January 2023. The organization lists Casey Watson, Owner, as its authorized official.

NPPES Registry Identity

NPI1720792799

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameREVITALIZE PSYCHIATRY, PLLC

Location Address11220 ELM LN STE 203-9Charlotte, NC 28277-0715

Mailing Address8022 Providence Rd Ste 500-229Charlotte, NC 28277-9719 · (704) 459-2181 · Fax (704) 533-9516

Phone(704) 459-2181

Fax(704) 533-9516

Organization SubpartNo

Authorized OfficialCasey WatsonOwner · (704) 459-2181

Enumeration DateJanuary 13, 2023

Last NPPES UpdateApril 2, 20232 updates tracked since enumeration

NPPES CertifiedApril 2, 2023

✔ NPI 1720792799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

11220 ELM LN STE 203-9, Charlotte, NC 28277

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

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 Revitalize Psychiatry, PLLC's NPI number?

The NPI number for Revitalize Psychiatry, PLLC is 1720792799. It was assigned to this organization in the NPPES registry on January 13, 2023.

Where is Revitalize Psychiatry, PLLC located?

Revitalize Psychiatry, PLLC is located at 11220 Elm Ln Ste 203-9, Charlotte, NC 28277. The listed phone number is (704) 459-2181.

What is Revitalize Psychiatry, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

What insurance does Revitalize Psychiatry, PLLC accept?

Health plans from Blue Cross and Blue Shield of NC list Revitalize Psychiatry, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Revitalize Psychiatry, PLLC was last updated on April 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.