Active NPI
Myah A Revis
- Clinical Psychologist
- La Vergne, TN
National Provider Identifier
1316837966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- NA
- Practice address
- 159 Ramsden Ave
La Vergne, TN 37086-1485 - Phone
- (513) 714-2562
- NPI assigned
- Jul 7, 2025
- Last updated
- Jul 7, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | NA | MS | Primary |
Addresses
Primary practice location
159 Ramsden Ave
La Vergne, TN 37086-1485
Mailing address
159 Ramsden Ave
La Vergne, TN 37086-1485
Phone (513) 714-2562
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751846400000",
"number": "1316837966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "159 RAMSDEN AVE",
"city": "LA VERGNE",
"state": "TN",
"postal_code": "370861485",
"telephone_number": "513-714-2562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "159 RAMSDEN AVE",
"city": "LA VERGNE",
"state": "TN",
"postal_code": "370861485",
"telephone_number": "513-714-2562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REVIS",
"first_name": "MYAH",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-07",
"last_updated": "2025-07-07",
"certification_date": "2025-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MS",
"license": "NA",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Vergne, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.