REVIVE THERAPEUTIC SERVICES
NPI 1639843303
Nurse Practitioner - Psychiatric/Mental Health in Providence, RI
NPI Status: Active since August 05, 2021
Contact Information
845 N MAIN ST
PROVIDENCE, RI
ZIP 02904
Phone: (401) 648-7172
Fax: (401) 648-0161
- Organization
- Nurse Practitioner
- Psychiatric/Mental Health
- Accepts Insurance
About REVIVE THERAPEUTIC SERVICES
This page provides the complete NPI Profile along with additional information for Revive Therapeutic Services, a provider established in Providence, Rhode Island operating as a Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1639843303 assigned on August 2021. The practitioner's primary taxonomy code is 363LP0808X. The provider is registered as an organization and their NPI record was last updated one year ago. Revive Therapeutic Services operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Revive Therapeutic Services. The authorized official of this NPI record is Akos Antwi (Provider/ceo)
- NPI
- 1639843303
- Provider Legal Name
- KOANN THERAPEUTIC SERVICES INC
- Other Organization Name
- REVIVE THERAPEUTIC SERVICES
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 845 N MAIN ST PROVIDENCE, RI 02904
- Location Phone
- (401) 648-7172
- Location Fax
- (401) 648-0161
- Mailing Address
- PO BOX 3085 PAWTUCKET, RI 02861
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-05-2021
- Last Update Date
- 10-30-2024
- Code Navigator
A nurse practitioner (NP) like Revive Therapeutic Services is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Secondary Locations
- 53 Chester St
Somerville, MA 02144
(401) 648-7172
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Psychiatric/Mental Health
- Taxonomy Code
- 363LP0808X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 163W00000X | Nursing Service Providers | Registered Nurse | |
| 2 | 163WP0807X | Nursing Service Providers | Registered Nurse | |
| 3 | 163WP0809X | Nursing Service Providers | Registered Nurse | |
| 4 | 251B00000X | Agencies | Case Management | |
| 5 | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | |
| 6 | 261QM1300X | Ambulatory Health Care Facilities | Clinic/Center |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
- Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
- Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
- Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
- Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
- Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Reviews for REVIVE THERAPEUTIC SERVICES
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 3 | 9 | 8 | 4 | 3 | 3 | 0 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 16 | 4 | 6 | 3 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 1 + 6 + 4 + 6 + 3 + 0 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1639843303 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1902877178 | CHRISTINE B BUTLER RNP Individual | Nurse Practitioner | 845 N MAIN ST SUITE 1 PROVIDENCE, RI 02904 (401) 331-9690 |
| 1508837816 | DR. FREDERICK AUGUSTUS GODLEY III M.D. Individual | Otolaryngology | 845 N MAIN ST SUITE 1 PROVIDENCE, RI 02904 (401) 331-9690 |
| 1962473124 | JUNE DIMATTEO AUD Individual | Audiologist | 845 N MAIN ST SUITE 2 PROVIDENCE, RI 02904 (401) 331-9690 |
| 1205892924 | MARK A TROTT PA Individual | Physician Assistant | 845 N MAIN ST SUITE 3 PROVIDENCE, RI 02904 (401) 521-7300 |
| 1336105857 | MRS. LISA M PICKETT P.T. Individual | Physical Therapist | 845 N MAIN ST SUITE 1B PROVIDENCE, RI 02904 (401) 270-1905 |
| 1427004886 | RHODE ISLAND DERMATOLOGY AND LASER MEDICINE Organization | Dermatology | 845 N MAIN ST SUITE 3 PROVIDENCE, RI 02904 (401) 521-7300 |
| 1891719563 | ALLIANCE ENT Organization | Otolaryngology | 845 N MAIN ST SUITE 1 PROVIDENCE, RI 02904 (401) 331-9690 |
| 1619081296 | DR. JENNIFER SARKAS D.C. Individual | Chiropractor | 845 N MAIN ST SUITE 8 PROVIDENCE, RI 02904 (401) 351-8960 |
| 1386730547 | NATURAL ALTERNATIVES INC. Organization | Chiropractor | 845 N MAIN ST SUITE 8 PROVIDENCE, RI 02904 (401) 351-8960 |
| 1447382346 | CHILDREN'S HEALTHCARE, INC Organization | Pediatrics | 845 N MAIN ST SUITE 7 PROVIDENCE, RI 02904 (401) 383-6776 |
| 1962790691 | WILFREDO OSCAR COLON PTA Individual | Physical Therapy Assistant | 845 N MAIN ST PROVIDENCE, RI 02904 (401) 270-1905 |
| 1124099361 | DR. PAUL C CHRISTU MD Individual | Otolaryngology | 845 N MAIN ST SUIT 1 PROVIDENCE, RI 02904 (401) 331-9690 |
| 1215327614 | LATINO PSYCHOLOGICAL INSTITUTE Organization | Counselor (Mental Health) | 845 N MAIN ST PROVIDENCE, RI 02904 (401) 270-7275 |
| 1164462461 | DR. RAYMOND HENRY WELCH M.D. Individual | Dermatology | 845 N MAIN ST SUITE 3 PROVIDENCE, RI 02904 (401) 521-7300 |
| 1063586295 | DR. LYNN HOLLEY SOMMERVILLE MD Individual | Internal Medicine | 845 N MAIN ST STE 5 PROVIDENCE, RI 02904 (401) 331-8338 |
| 1366407306 | FLEXIBLE PHYSICAL THERAPY INC Organization | Clinic/Center | 845 N MAIN ST SUITE 1B PROVIDENCE, RI 02904 (401) 270-1905 |
| 1518435882 | LIKE HOME ADULT DAYCARE HEALTH CENTER, LLC Organization | Clinic/Center (Adult Day Care) | 845 N MAIN ST PROVIDENCE, RI 02904 (401) 274-1020 |
| 1831815950 | SUNRISE ADHC LLC Organization | Clinic/Center (Adult Day Care) | 845 N MAIN ST PROVIDENCE, RI 02904 (857) 250-5123 |
| 1104538313 | NAOMI RAYMOND LMHC, LPMT, LCAT Individual | Counselor (Mental Health) | 845 N MAIN ST PROVIDENCE, RI 02904 (401) 648-7172 |
| 1114595360 | ELISSA MAY FRANKLIN LICSW Individual | Social Worker (Clinical) | 845 N MAIN ST PROVIDENCE, RI 02904 (401) 648-7172 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639843303, enumerated in the NPI registry as an "organization" on August 05, 2021
The provider is located at 845 N Main St Providence, Ri 02904 and the phone number is (401) 648-7172
This medical organization specializes in Nurse Practitioner with taxonomy code 363LP0808X with a focus in Psychiatric/Mental Health
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on August 05, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.