1. Home
  2. Directory
  3. California
  4. Milpitas
  5. Clinic Center
  6. NPI Profile

REVERVALE PSYCHOTHERAPY PC
NPI 1962090761
Clinic/Center in Milpitas, CA

Active since January 06, 2021
1636 WATSON CT, MILPITAS, CA 95035(650) 714-7595(669) 235-8105 Get Directions Write a Review

NPPES record last updated: December 30, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 30, 2022, Jan 6, 2021 (2 updates tracked since 2021).

About Revervale Psychotherapy Pc NPPES

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

REVERVALE PSYCHOTHERAPY PC (NPI 1962090761) is a healthcare organization registered as a clinic/center in Milpitas, California and active in the NPI registry since January 2021. The organization lists Vinh Q Thai, President, as its authorized official.

NPPES Registry Identity

NPI1962090761
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameREVERVALE PSYCHOTHERAPY PC
Location Address1636 WATSON CTMilpitas, CA 95035-6822
Mailing Address1636 Watson CtMilpitas, CA 95035-6822 · (650) 714-7595 · Fax (669) 235-8105
Phone(650) 714-7595
Fax(669) 235-8105
Organization SubpartNo
Authorized OfficialVinh Q ThaiPresident · (650) 714-7595
Enumeration DateJanuary 6, 2021
Last NPPES UpdateDecember 30, 20222 updates tracked since enumeration
NPPES CertifiedDecember 30, 2022
✔ NPI 1962090761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1636 WATSON CT, Milpitas, CA 95035
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Revervale Psychotherapy Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Revervale Psychotherapy PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Vinh Thai, MD
Psychiatry
NPI 1205859758
1636 WATSON CT
Milpitas, CA 95035
(650) 714-7595
✔ PECOS✔ Accepts MedicareSame address

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 Revervale Psychotherapy PC's NPI number?

The NPI number for Revervale Psychotherapy PC is 1962090761. It was assigned to this organization in the NPPES registry on January 6, 2021.

Where is Revervale Psychotherapy PC located?

Revervale Psychotherapy PC is located at 1636 Watson Ct, Milpitas, CA 95035. The listed phone number is (650) 714-7595.

What is Revervale Psychotherapy PC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Revervale Psychotherapy PC enrolled in Medicare?

Yes. Revervale Psychotherapy PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Revervale Psychotherapy PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Revervale Psychotherapy PC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Revervale Psychotherapy PC was last updated on December 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.