REVIVE MENTAL HEALTH INC NPI 1023889003

NPI Information

  • NPI: 1023889003
  • Provider Name: REVIVE MENTAL HEALTH INC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 15447 ANACAPA RD STE 200
    VICTORVILLE, CA
    ZIP 92392
  • Phone: (442) 255-4087

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NPI Details

REVIVE MENTAL HEALTH INC is a psychiatric/mental health nurse practitioner in Victorville, CA. REVIVE MENTAL HEALTH INC NPI is 1023889003. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

15447 ANACAPA RD STE 200
VICTORVILLE, CA
ZIP 92392-490
Phone: (442) 255-4087
Fax: (442) 255-4071

The provider's authorized official is Aizzel Ramas .
The authorized official title is Psychitric Nurse Practitioner and has the following contact phone number (951) 496-7912.

The enumeration date for this NPI number is 1/10/2024 and was last updated on 1/10/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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