REVIVE BEHAVIORAL HEALTH
NPI 1942055504
Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry in Petersburg, VA
About Revive Behavioral Health NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REVIVE BEHAVIORAL HEALTH (NPI 1942055504) is a healthcare organization registered as a behavioral neurology & neuropsychiatry in Petersburg, Virginia and active in the NPI registry since April 2024. The organization lists Hailey Mazzei, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Revive Behavioral Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Revive Behavioral Health, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (7)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Behavioral Health's NPI number?
The NPI number for Revive Behavioral Health is 1942055504. It was assigned to this organization in the NPPES registry on April 18, 2024.
Where is Revive Behavioral Health located?
Revive Behavioral Health is located at 416 3rd St Ste D, Petersburg, VA 23803. The listed phone number is (804) 653-7009.
What is Revive Behavioral Health's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Behavioral Neurology & Neuropsychiatry, with taxonomy code 2084B0040X.
Is Revive Behavioral Health enrolled in Medicare?
Yes. Revive Behavioral Health is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Revive Behavioral Health?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Revive Behavioral Health. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (5), Clinical Social Worker (1) and Mental Health Counselor (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Revive Behavioral Health was last updated on September 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Revive Behavioral Health · NPI 1942055504
Behavioral Neurology & Neuropsychiatry organization in Petersburg, Virginia. Organization record, active in the CMS NPPES registry since April 18, 2024.
## Identity
- **NPI:** 1942055504 (Entity type: Organization)
- **Enumerated:** April 18, 2024
- **Primary specialty:** Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry · taxonomy 2084B0040X
- **Also known as:** Revive Behavioral Health (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Hailey Mazzei, OWNER
## Practice location
- **Address:** 416 3RD ST STE D, Petersburg, VA 23803-3300
- **Phone:** (804) 653-7009 · **Fax:** (804) 773-4688
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Clinical Social Worker (1), Mental Health Counselor (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 13, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1942055504) · Data from the CMS NPPES public registry.