Ratia Revolution PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

RATIA REVOLUTION PLLC

Practice address

4509 Creedmoor Rd Ste 201
Raleigh, NC 27612-3813

Phone

(984) 999-1213

Fax

(877) 673-1424

NPI assigned

Feb 15, 2023

Organization subpart

No

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

Authorized official

Name

Jay M Ratia, LCSWNPI 1053606814

Title

Owner

Phone

(984) 999-1213

Specialties & licenses 4

Addresses

Practitioners 1

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

• Jay M Ratia, LCSW

  • Clinical Social Worker
  • Raleigh, NC
  • NPI 1053606814
  NPD Authorized official

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

{
    "created_epoch": "1676419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676419200000",
    "number": "1326745704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7116 CARRIES REACH WAY",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276147668",
            "telephone_number": "732-754-8727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4509 CREEDMOOR RD STE 201",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276123813",
            "telephone_number": "984-999-1213",
            "fax_number": "877-673-1424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RATIA REVOLUTION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-15",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A",
        "authorized_official_last_name": "RATIA",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "984-999-1213",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Austin Rassette, CRNA
• Justin Ratchford, RBT
• Kayleigh Elizabeth Rathbun, PT, DPT
• Dhrupa Dilipsinh Rathod, CRNP
• David James Rathvon, PA-C
• Jay M Ratia, LCSW
• Michael Shane Ratliff Jr.
• Mary Katherine Ratterree
• Elizabeth Rattle, PA-C
• Amy Rauch, PSYD

• Community/Behavioral Health Agency in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; 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.