Revolution Psychology, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

REVOLUTION PSYCHOLOGY, LLC

Practice address

245 E Broad St Ste B
Greenville, SC 29601-2896

Phone

(864) 417-9668

NPI assigned

Nov 20, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Paciarelli, PSY.D.

Title

President/Clinical Psychologist

Phone

(864) 417-9668

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 1

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

• Eugene Joseph Paciarelli, Jr. Jr., PSY.D

  • Clinical Psychologist
  • Greenville, SC
  • NPI 1336478692
  Medicare reassignment NPD

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

{
    "created_epoch": "1574208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663200000000",
    "number": "1346886801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 E BROAD ST STE B",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012896",
            "telephone_number": "864-417-9668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 E BROAD ST STE B",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012896",
            "telephone_number": "864-417-9668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVOLUTION PSYCHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-20",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A",
        "authorized_official_last_name": "PACIARELLI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT/CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "864-417-9668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Revel Care
• Robin A. Revell, LISW-CP
• Jonathan Revels, LCAS, CCS, NCC
• Fredy Jesus Revilla, M.D.
• Revive & Renew Counseling, LLC
• James Caldwell Rex Jr., MD
• Maria Reyes
• Miguel Adrian Reyes, MD
• Rayma Yuliet Reyes, APP
• Tasnim Islam Reyes, PA

• Psychologist in Greenville, SC
• Providers in Greenville, SC by specialty
• Psychologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.