Revivir Psychiatry

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

REVIVIR PSYCHIATRY

Practice address

1220 Butler St
Easton, PA 18042-4712

Phone

(484) 748-0484

Fax

(551) 202-7648

NPI assigned

Sep 21, 2026

Organization subpart

No

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

Authorized official

Name

Debora Monserrat, CRNP-BC

Title

Owner

Phone

(484) 748-0484

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1789948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790726400000",
    "number": "1063324580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 S 1ST ST",
            "city": "BANGOR",
            "state": "PA",
            "postal_code": "180132640",
            "telephone_number": "484-748-0484",
            "fax_number": "551-202-7648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 BUTLER ST",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180424712",
            "telephone_number": "484-748-0484",
            "fax_number": "551-202-7648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVIR PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-21",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A",
        "authorized_official_last_name": "MONSERRAT",
        "authorized_official_first_name": "DEBORA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "484-748-0484",
        "authorized_official_credential": "CRNP-BC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.