{"npi":"1669259735","type":"NPI-2","status":"active","name":{"display":"Reviving Life Mental Health Services LLC","other":[],"organization_name":"REVIVING LIFE MENTAL HEALTH SERVICES LLC","authorised_official":"Pauline Ekeh"},"specialty":{"primary_taxonomy":"163WP0808X","primary_taxonomy_description":"Psychiatric/Mental Health Registered Nurse","slug":"psychiatric-mental-health-registered-nurse","schema_org_specialty":null,"all":[{"code":"163WP0808X","description":"Psychiatric/Mental Health Registered Nurse","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"305 ROSEBERRY ST","city":"PHILLIPSBURG","state":"NJ","postal_code":"088651600","country_code":"US","phone":"9083617498"},{"purpose":"MAILING","street_1":"305 ROSEBERRY ST","city":"PHILLIPSBURG","state":"NJ","postal_code":"088651600","country_code":"US","phone":"9083617498"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20240219003644","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"NJ","pac_id":"1557705449"}]},"enumeration_date":"2023-09-12","last_updated":"2024-02-08","_meta":{"source":"NPPES","snapshot_date":"2024-02-08","doc_url":"https://findmynpi.com/api"}}