Reveive Youth and Family Services

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

8035461 Issued in WI

Legal business name

REVEIVE YOUTH AND FAMILY SERVICES

Practice address

2518 N 17TH St
Milwaukee, WI 53206-2020

Phone

(414) 915-2637

Fax

(414) 810-1567

NPI assigned

Apr 29, 2013

Last updated

Apr 29, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Crystal A McClain, CAPSWNPI 1669816112

Title

Therapist

Phone

(414) 763-6603

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, and the practitioner matching its NPPES authorized official.

• Crystal A McClain, CAPSW

  • Social Worker
  • Milwaukee, WI
  • NPI 1669816112
  NPD (past) Authorized official

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

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367193600000",
    "number": "1225472632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2518 N17TH ST.",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53206",
            "telephone_number": "414-915-2637",
            "fax_number": "414-810-1567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2518 N 17TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532062020",
            "telephone_number": "414-915-2637",
            "fax_number": "414-810-1567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVEIVE YOUTH AND FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-29",
        "last_updated": "2013-04-29",
        "status": "A",
        "authorized_official_last_name": "MCCLAIN",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "414-763-6603",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "CAPSW"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "WI",
            "license": "8035461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Retzer, MSW, LCSW
• Chelsea A Reuter-Seng
• Matthew David Reuter, DNP
• Nancy Marie Reuter
• Sarah Reuter, MSW
• Peyton Lindsey Reves, MD
• Sara Revolinski, PHARMD, BCPS
• Janet R Rewasiewicz, R.N.
• Kimberly Rewolinski
• Elizabeth Reyes de Leon, LPC-IT

• Emotionally Disturbed Childrens' Residential Treatment Facility in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; 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.