{"npi":"1023889003","type":"NPI-2","status":"active","name":{"display":"Revive Mental Health INC","other":[],"organization_name":"REVIVE MENTAL HEALTH INC","authorised_official":"Aizzel Ramas"},"specialty":{"primary_taxonomy":"363LP0808X","primary_taxonomy_description":"Psychiatric/Mental Health Nurse Practitioner","slug":"psychiatric-mental-health-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363LP0808X","description":"Psychiatric/Mental Health Nurse Practitioner","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"15447 ANACAPA RD STE 200","city":"VICTORVILLE","state":"CA","postal_code":"923922490","country_code":"US","phone":"4422554087","fax":"4422554071"},{"purpose":"MAILING","street_1":"15447 ANACAPA RD STE 200","city":"VICTORVILLE","state":"CA","postal_code":"923922490","country_code":"US","phone":"4422554087","fax":"4422554071"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2024-01-10","last_updated":"2024-01-10","_meta":{"source":"NPPES","snapshot_date":"2024-01-10","doc_url":"https://findmynpi.com/api"}}