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REVIVED SOUL MEDICAL PC
NPI 1821389941
Psychiatry & Neurology - Psychiatry in Brooklyn, NY

Active since April 23, 2011
1901 AVENUE P, 1A, BROOKLYN, NY 11229(718) 382-5060 Get Directions Write a Review

NPPES record last updated: April 23, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Revived Soul Medical Pc NPPES

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

REVIVED SOUL MEDICAL PC (NPI 1821389941) is a healthcare organization registered as a psychiatry in Brooklyn, New York and active in the NPI registry since April 2011. The organization lists Irina Kiblitsky, Owner, as its authorized official.

NPPES Registry Identity

NPI1821389941
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameREVIVED SOUL MEDICAL PC
Location Address1901 AVENUE P, 1ABrooklyn, NY 11229-1342
Mailing Address1901 Avenue P, 1aBrooklyn, NY 11229-1342 · (718) 382-5060
Phone(718) 382-5060
Organization SubpartNo
Authorized OfficialIrina KiblitskyOwner · (718) 382-5060
Enumeration DateApril 23, 2011
✔ NPI 1821389941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NY · 246958
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.
1901 AVENUE P, Brooklyn, NY 11229
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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 3

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

VIKTORIYA BEYNISH NP
Nurse Practitioner (Family)
1901 AVENUE P
BROOKLYN, NY 11229
Kings County (646) 496-3231
RECONDITE ASSISTANCE CORP.
Technician, Health Information
1901 AVENUE P, SUITE #1A
BROOKLYN, NY 11229
Kings County (917) 584-1409
MARLENE CHARLES MD PC
Psychiatry & Neurology (Psychiatry)
1901 AVENUE P, SUITE 1A
BROOKLYN, NY 11229
Kings County (718) 382-0157

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 Revived Soul Medical PC's NPI number?

The NPI number for Revived Soul Medical PC is 1821389941. It was assigned to this organization in the NPPES registry on April 23, 2011.

Where is Revived Soul Medical PC located?

Revived Soul Medical PC is located at 1901 Avenue P 1A, Brooklyn, NY 11229. The listed phone number is (718) 382-5060.

What is Revived Soul Medical 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 Revived Soul Medical PC was last updated on April 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.