Revive Psycho Therapy LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

REVIVE PSYCHO THERAPY LLC

Practice address

2800 Parkview Ter Apt 5a
Bronx, NY 10468-1532

Phone

(646) 316-4902

NPI assigned

Sep 30, 2024

Last updated

Sep 30, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Melissa Salce, LCSWNPI 1720629165

Title

Clinical Director

Phone

(646) 623-9554

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Melissa Salce, LCSW

  • Clinical Social Worker
  • New York, NY
  • NPI 1720629165
  NPD Authorized official

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

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1447078480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 VERMILYEA AVE UNIT 428",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100349417",
            "telephone_number": "646-316-4902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 PARKVIEW TER APT 5A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104681532",
            "telephone_number": "646-316-4902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE PSYCHO THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "SALCE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "646-623-9554",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Reuter, PA
• Josef Reutershan, BSW
• Sofia Marie Reverendo, LMSW
• Revival Physical Therapy & Rehabilitation Services, PC
• Revive Pharmacy Inc
• Revolution Medical Supply
• Stephanie Lynn Revoredo
• Rex Medical P.C.
• Taina Belen Rexach
• Morayma Reyes Gil, M.D. PHD

• Clinical Social Worker in Bronx, NY
• Providers in Bronx, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.