Revive Behavioral Health, PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

REVIVE BEHAVIORAL HEALTH, PLLC

Practice address

287 Grove Street
Building D, Suite 204
Worcester, MA 01605

Phone

(508) 444-9783

Fax

(508) 794-7167

NPI assigned

Jun 18, 2025

Organization subpart

No

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

Authorized official

Name

David Dinh, PMHNP-BCNPI 1104478288

Title

Owner

Phone

(508) 444-9783

Specialties & licenses 1

Addresses

Practitioners 1

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

• David Dinh, NP-C, PMHNP-BC

  • Family Nurse Practitioner
  • Worcester, MA
  • NPI 1104478288

  Psychiatric/Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1750204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750204800000",
    "number": "1871480327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "287 GROVE STREET",
            "address_2": "BUILDING D, SUITE 204",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "01605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 GROVE STREET",
            "address_2": "BUILDING D, SUITE 204",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "01605",
            "telephone_number": "508-444-9783",
            "fax_number": "508-794-7167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE BEHAVIORAL HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-18",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A",
        "authorized_official_last_name": "DINH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-444-9783",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Restored Neurobehavioral Health Services
• Marc C. Restuccia, MD
• Retina Consultants of Worcester PC
• Diana B Reusch, MD
• Revidas LLC (Revidas)
• Ritika Revoori
• Sujatha L Revur, GENERAL DENTISTRY
• Rosmery Reyes Cruz
• Armando Reyes Lopez, MCP
• Monique Reyes-Navarro

• Psychiatric/Mental Health Nurse Practitioner in Worcester, MA
• Providers in Worcester, MA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.

Verify at the official NPI Registry.