Organization Active NPI

82 Medical Group

  • Adolescent and Children Mental Health Clinic/Center
  • Sheppard Afb, TX
National Provider Identifier
1073593570
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
82 MEDICAL GROUP
Doing business as
U.S. Air Force
Practice address
149 Hart St
Sheppard Afb, TX 76311-3477
Phone
(940) 676-6075
Fax
(940) 676-6076
NPI assigned
Jan 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Christoper James Revis, PH.D.
Title
Clinical Psychologist
Phone
(940) 676-4945

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 23872 TX
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

149 Hart St
Sheppard Afb, TX 76311-3477

Mailing address

149 Hart St
Sheppard Afb, TX 76311-3477
Phone (940) 676-6075

Other names 1

  • U.S. Air Force Doing business as

National Provider Directory

National Provider Directory

Locations

149 Hart St
Sheppard AFB, TX 76311
Phone (940) 676-6777

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1073593570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 HART ST",
            "city": "SHEPPARD AFB",
            "state": "TX",
            "postal_code": "763113477",
            "telephone_number": "940-676-6075",
            "fax_number": "940-676-6076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 HART ST",
            "city": "SHEPPARD AFB",
            "state": "TX",
            "postal_code": "763113477",
            "telephone_number": "940-676-6075",
            "fax_number": "940-676-6076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "82 MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-19",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "REVIS",
        "authorized_official_first_name": "CHRISTOPER",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "940-676-4945",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "TX",
            "license": "23872",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "U.S. Air Force",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sheppard Afb, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.