Revise Health

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

REVISE HEALTH

Practice address

3201 Wilshire Blvd Ste 211B
Santa Monica, CA 90403-2344

Phone

(323) 283-9998

NPI assigned

Feb 5, 2024

Organization subpart

No

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

Authorized official

Name

Kevin Simonson, MDNPI 1104349190

Title

Physician

Phone

(323) 283-9998

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Kevin Simonson, MD

  • Psychiatry Physician
  • Riverside, CA
  • NPI 1104349190
  NPD Authorized official

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1184487928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 WILSHIRE BLVD STE 211B",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904032344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 WILSHIRE BLVD STE 211B",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904032344",
            "telephone_number": "323-283-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVISE HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-04",
        "status": "A",
        "authorized_official_last_name": "SIMONSON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "323-283-9998",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Restorative Residential LLC
• Megan Retterath
• Sarah Ruth Rettinger, MD
• David Bart Reuben, M.D.
• Katherine Evan Reuter, PH.D.
• Raul Reyes Hernandez, M.D.
• Annette J Reyes, LMFT
• Dulce Tattiana Reyes, LMFT
• Karla Reyes
• Yasaman Reyhani, PHARMD

• Psychiatry Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.