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REVIVE PSYCHIATRY SERVICES
NPI 1831844877
Nurse Practitioner - Psychiatric/Mental Health in Bridgeport, CT

Active since February 17, 2022
130 POPLAR ST, BRIDGEPORT, CT 06605(203) 536-8533 Get Directions Write a Review

NPPES record last updated: February 17, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Revive Psychiatry Services NPPES

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

REVIVE PSYCHIATRY SERVICES (NPI 1831844877) is a healthcare organization registered as a psychiatric/mental health in Bridgeport, Connecticut and active in the NPI registry since February 2022. The organization lists Linton Kinlock, Psychiatric Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1831844877
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameREVIVE PSYCHIATRY SERVICES
Location Address130 POPLAR STBridgeport, CT 06605-1925
Mailing Address130 Poplar StBridgeport, CT 06605-1925
Phone(203) 536-8533
Organization SubpartNo
Authorized OfficialLinton KinlockPsychiatric Nurse Practitioner · (203) 536-8533
Enumeration DateFebruary 17, 2022
NPPES CertifiedFebruary 17, 2022
✔ NPI 1831844877 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
130 POPLAR ST, Bridgeport, CT 06605
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Other Identifiers 1

Medicaid6024487CT

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

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

LINTON KINLOCK APRN
Nurse Practitioner (Psychiatric/Mental Health)
130 POPLAR ST
BRIDGEPORT, CT 06605
Greater Bridgeport Planning Region (203) 536-8533

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 Services's NPI number?

The NPI number for Revive Psychiatry Services is 1831844877. It was assigned to this organization in the NPPES registry on February 17, 2022.

Where is Revive Psychiatry Services located?

Revive Psychiatry Services is located at 130 Poplar St, Bridgeport, CT 06605. The listed phone number is (203) 536-8533.

What is Revive Psychiatry Services'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 Services was last updated on February 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.