Active NPI
82 Medical Group
- Adolescent and Children Mental Health Clinic/Center
- Sheppard Afb, TX
National Provider Identifier
1073593570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent and Children Mental Health Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.