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ISREAL REVIVO
NPI 1902623325
Marriage & Family Therapist in Roseville, CA

Active since September 25, 2024
3400 DOUGLAS BLVD STE 170, ROSEVILLE, CA 95661(818) 406-6689 Get Directions Write a Review

NPPES record last updated: October 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Isreal Revivo NPPES

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

ISREAL REVIVO (NPI 1902623325) is an individual marriage & family therapist in Roseville, California and active in the NPI registry since September 2024. He maintains a secondary practice location in Sun Valley.

NPPES Registry Identity

NPI1902623325
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameISREAL REVIVO
Location Address3400 DOUGLAS BLVD STE 170Roseville, CA 95661-4281
Mailing Address10443 Arminta StSun Valley, CA 91352-4109 · (818) 406-6689
Phone(818) 406-6689
Sole ProprietorNo
Enumeration DateSeptember 25, 2024
Last NPPES UpdateOctober 18, 2024
NPPES CertifiedOctober 18, 2024
✔ NPI 1902623325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
3400 DOUGLAS BLVD STE 170, Roseville, CA 95661
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Secondary Practice Location 1

Location 110443 Arminta StSun Valley, CA 91352-4109 · Phone (818) 406-6689

Other Providers at the Same Location NPPES 20

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

NARY RATH ACSW
Counselor
3400 DOUGLAS BLVD STE 170
ROSEVILLE, CA 95661
Placer County (916) 740-3721
ALYSSA MARIE WALB
Counselor (Mental Health)
3400 DOUGLAS BLVD STE 170
ROSEVILLE, CA 95661
Placer County (855) 446-8628
JELENA DRAGOLJEVIC PA
Physician Assistant (Medical)
3400 DOUGLAS BLVD STE 170
ROSEVILLE, CA 95661
Placer County (407) 435-5067
KATHERINE ROBERTSON MD
Internal Medicine
3400 DOUGLAS BLVD STE 170
ROSEVILLE, CA 95661
Placer County (855) 446-8628
FARANAK SABETIAN
Counselor (Mental Health)
3400 DOUGLAS BLVD STE 170
ROSEVILLE, CA 95661
Placer County (858) 345-0885
GLORIA SAADEH
Counselor (Professional)
3400 DOUGLAS BLVD STE 170
ROSEVILLE, CA 95661
Placer County (928) 530-3695
ROBIN M HILL SOCIAL WORKER
Social Worker
3400 DOUGLAS BLVD STE 170
ROSEVILLE, CA 95661
Placer County (916) 740-3721
BERNARDO GARCIA ACSW
Social Worker (Clinical)
3400 DOUGLAS BLVD STE 170
ROSEVILLE, CA 95661
Placer County (855) 223-7123

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 Isreal Revivo's NPI number?

The NPI number for Isreal Revivo is 1902623325. It was assigned to this individual provider in the NPPES registry on September 25, 2024.

Where is Isreal Revivo located?

Isreal Revivo practices at 3400 Douglas Blvd Ste 170, Roseville, CA 95661. The listed phone number is (818) 406-6689.

What is Isreal Revivo's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Isreal Revivo was last updated on October 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.