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NPI · 1821389941 · NPPES-sourced

Revived Soul Medical PC

ActivePsychiatry
NPI Number
1821389941
Type 2 · Organisation
Taxonomy Code
2084P0800X
Contact
(718) 382-5060
License NY · 246958
Last Updated
About 15 years ago (Apr 2011)
Enumerated 2011-04-23
Primary practice addressNY · 11229-1342
1901 Avenue P, 1aBrooklyn, NY 11229-1342
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About this NPIWhat this record shows.

NPI 1821389941 is registered to Revived Soul Medical PC, a healthcare organisation classified as "Psychiatry" and located at 1901 Avenue P, 1a in Brooklyn, New York. The organisation's authorised official is Irina Kiblitsky. The organisation has been enumerated in the NPI registry since 2011.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
2011-04-23
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Revived Soul Medical PC accepts. To confirm in-network status with your specific health plan, contact Revived Soul Medical PC directly at (718) 382-5060.

Frequently asked

Yes. NPI 1821389941 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Psychiatry is the medical specialty focused on the diagnosis, treatment, and prevention of mental health conditions, including depression, anxiety, bipolar disorder, and schizophrenia.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (718) 382-5060.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Revived Soul Medical PC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy2084P0800X
Last updated2011-04
Enumerated2011-04-23
StatusActive
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