Revive Mental Health Inc

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

REVIVE MENTAL HEALTH INC

Practice address

15447 Anacapa Rd Ste 200
Victorville, CA 92392-2490

Phone

(442) 255-4087

Fax

(442) 255-4071

NPI assigned

Jan 10, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Aizzel Ramas, DNP/ PMHNP

Title

Psychitric Nurse Practitioner

Phone

(951) 496-7912

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Aizzel Ramas Trieu, NP

  • Nurse Practitioner
  • Riverside, CA
  • NPI 1689214074
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1704844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704844800000",
    "number": "1023889003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15447 ANACAPA RD STE 200",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923922490",
            "telephone_number": "442-255-4087",
            "fax_number": "442-255-4071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15447 ANACAPA RD STE 200",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923922490",
            "telephone_number": "442-255-4087",
            "fax_number": "442-255-4071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE MENTAL HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A",
        "authorized_official_last_name": "RAMAS",
        "authorized_official_first_name": "AIZZEL",
        "authorized_official_title_or_position": "PSYCHITRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "951-496-7912",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP/ PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jewel Blueberry Rencher
• Renewed Ambition
• Alexandra Nataly Renteria
• Chloe Replogle, OTR/L
• Bryan Resendiz
• Alexis Cayla Reyes
• Annamarie Reyes, FNP-BC
• Charito Buna Reyes, MD
• Christine Ann Reyes, RN
• Jessica Reyes

• Psychiatric/Mental Health Nurse Practitioner in Victorville, CA
• Providers in Victorville, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.