Organization Active NPI

Revive Psychiatric Nursing Inc

  • Adult Mental Health Clinic/Center
  • San Francisco, CA
National Provider Identifier
1306576152
Registry record updated Dec 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
REVIVE PSYCHIATRIC NURSING INC
Practice address
870 Market St Ste 967
San Francisco, CA 94102-2912
Phone
(650) 488-1057
Fax
(888) 675-4054
NPI assigned
Jun 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2022

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

Authorized official

Name
Christianne Burns, NPNPI 1134761711
Title
Ceo
Phone
(650) 488-1057

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

870 Market St Ste 967
San Francisco, CA 94102-2912

Mailing address

447 Sutter St Ste 405
San Francisco, CA 94108-4618
Phone (650) 488-1057

National Provider Directory

National Provider Directory

Locations

870 Market St
Ste 967
San Francisco, CA 94102
Phone (415) 407-0748

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669939200000",
    "number": "1306576152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 SUTTER ST STE 405",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941084618",
            "telephone_number": "650-488-1057",
            "fax_number": "888-675-4054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 MARKET ST STE 967",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941022912",
            "telephone_number": "650-488-1057",
            "fax_number": "888-675-4054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE PSYCHIATRIC NURSING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "CHRISTIANNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-488-1057",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; 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.