REVIVED MEDICAL IPA LLC
NPI 1912644972
Psychiatry & Neurology - Psychiatry in Brooklyn, NY

Q: What is Revived Medical Ipa LLC's NPI number?

The NPI number for Revived Medical Ipa LLC is 1912644972. It was assigned to this organization in the NPPES registry on May 19, 2022.

Q: What is Revived Medical Ipa LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Active since May 19, 2022

1329 E 17TH ST, BROOKLYN, NY 11230(917) 584-1409 Get Directions Write a Review

NPPES record last updated: May 19, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Revived Medical Ipa Llc NPPES

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

REVIVED MEDICAL IPA LLC (NPI 1912644972) is a healthcare organization registered as a psychiatry in Brooklyn, New York and active in the NPI registry since May 2022. The organization lists Ilya Kiblitsky, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1912644972

Entity TypeOrganization

Primary Taxonomy2084P0800X

Legal Business NameREVIVED MEDICAL IPA LLC

Location Address1329 E 17TH STBrooklyn, NY 11230-6052

Mailing Address1329 E 17th StBrooklyn, NY 11230-6052

Phone(917) 584-1409

Organization SubpartNo

Authorized OfficialIlya KiblitskySole Member · (917) 584-1409

Enumeration DateMay 19, 2022

NPPES CertifiedMay 19, 2022

✔ NPI 1912644972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedPsychologistTaxonomy 103T00000X

Also ListedPhysical TherapistTaxonomy 225100000X

Also ListedOccupational TherapistTaxonomy 225X00000X

1329 E 17TH ST, Brooklyn, NY 11230

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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.

DR. IRINA KIBLITSKY M.D.

Psychiatry & Neurology (Psychiatry)

1329 E 17TH ST
BROOKLYN, NY 11230

Kings County (718) 382-5060

RAVI PARANAVITANA PMHNP

Nurse Practitioner (Psychiatric/Mental Health)

1329 E 17TH ST
BROOKLYN, NY 11230

Kings County (718) 382-5060

MS. TIFFANY LAUREN LAWSON NP

Nurse Practitioner (Psychiatric/Mental Health)

1329 E 17TH ST
BROOKLYN, NY 11230

Kings County (718) 382-5060

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 Medical Ipa LLC's NPI number?

The NPI number for Revived Medical Ipa LLC is 1912644972. It was assigned to this organization in the NPPES registry on May 19, 2022.

Where is Revived Medical Ipa LLC located?

Revived Medical Ipa LLC is located at 1329 E 17th St, Brooklyn, NY 11230. The listed phone number is (917) 584-1409.

What is Revived Medical Ipa LLC'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 Medical Ipa LLC was last updated on May 19, 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.