Organization Active NPI

Center of Revitalizing Psychiatry, P.C.

  • Psychiatry Physician
  • Rochelle Park, NJ
National Provider Identifier
1356497960
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
CENTER OF REVITALIZING PSYCHIATRY, P.C.
Practice address
340 W Passaic St Ste 1
Rochelle Park, NJ 07662-3019
Phone
(201) 488-5161
Fax
(201) 488-5162
NPI assigned
Jan 26, 2007
Last updated
Sep 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Authorized official

Name
Rimma Babeshko
Title
Office Manager
Phone
(201) 488-5161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

340 W Passaic St Ste 1
Rochelle Park, NJ 07662-3019

Mailing address

795 Main St
Hackensack, NJ 07601-4812
Phone (201) 488-5161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20041004000585 NJ Part B Supplier - Clinic/Group Practice 0648239988 Receives reassigned benefits from 18 practitioners
Practice locations: Rochelle Park, NJ
O20120508000536 FL Part B Supplier - Clinic/Group Practice 0648239988 Receives reassigned benefits from 24 practitioners
Practice locations: Sarasota, FL

National Provider Directory

National Provider Directory
Tax ID family
Center of Revitalizing Psychiatry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

145 Main St
Hackensack, NJ 07601
Phone (201) 455-5161

795 Main St
Hackensack, NJ 07601
Phone (201) 488-5161

90 Main St
Ste 1001
Hackensack, NJ 07601
Phone (201) 883-9872

340 W Passaic St
Ste 1
Rochelle Park, NJ 07662
Phone (201) 488-5161

Practitioners & affiliated clinicians

Practitioners 74

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.

View all 74

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758585600000",
    "number": "1356497960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "795 MAIN ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076014812",
            "telephone_number": "201-488-5161",
            "fax_number": "201-488-5162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 W PASSAIC ST STE 1",
            "city": "ROCHELLE PARK",
            "state": "NJ",
            "postal_code": "076623019",
            "telephone_number": "201-488-5161",
            "fax_number": "201-488-5162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER OF REVITALIZING PSYCHIATRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A",
        "authorized_official_last_name": "BABESHKO",
        "authorized_official_first_name": "RIMMA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "201-488-5161"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochelle Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; 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.