Active NPIOrganization

Revive Psychiatry & Wellness, PLLC

Psychiatry & Neurology, Psychiatry in Medford, Massachusetts

NPI Number1457174344
Practice location
0 Governors Ave Ste 24, Medford, MA 02155-3097
Fax
844-927-4990
Last updated
June 22, 2026

Revive Psychiatry & Wellness, PLLC is a healthcare organization based in Medford, MA. Revive Psychiatry & Wellness, PLLC practices in Medford, MA. The NPI Number for Revive Psychiatry & Wellness, PLLC is 1457174344. The current practice location address for Revive Psychiatry & Wellness, PLLC is 0 Governors Ave Ste 24, Medford, MA 02155-3097 and can be reached out via phone at 617-294-9094 and via fax at 844-927-4990.

Provider Profile Details

NPI Number
1457174344
Provider Name
Revive Psychiatry & Wellness, PLLC
Provider Entity Type
Organization
Address
0 Governors Ave Ste 24, Medford, MA 02155-3097
Phone Number
617-294-9094
Fax Number
844-927-4990
Primary Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X
Organization Subpart
No
Authorized Official
Rhianna Candido, PMHNP-BC · Owner/Psychiatric NP · 617-294-9094
Provider Enumeration Date
November 7, 2024
Last Update Date
June 22, 2026
Certification Date
June 22, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
0 Governors Ave Ste 24
Medford, MA 02155-3097
Zip
02155-3097
Phone Number
617-294-9094
Fax Number
844-927-4990
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
60 Moreland St Apt 3
Somerville, MA 02145-1483
City
Somerville
State
MA
Zip
02145-1483
Fax Number
844-927-4990

License Information

Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Revive Psychiatry & Wellness, PLLC?

The NPI number of Revive Psychiatry & Wellness, PLLC is 1457174344. It was assigned on November 7, 2024 and is currently active in the NPPES registry.

What is the specialty of Revive Psychiatry & Wellness, PLLC?

Revive Psychiatry & Wellness, PLLC is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X).

Where does Revive Psychiatry & Wellness, PLLC practice?

The practice location is 0 Governors Ave Ste 24, Medford, MA 02155-3097. The office can be reached at 617-294-9094 (phone) or 844-927-4990 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1457174344 directly on the NPPES registry website.

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