OrganizationActive
Revive Medical Group, P.C.
NPI 1033798871 · Psychiatry Physician · Clinton, MO
Revive Medical Group, P.C. is a Psychiatry Physician organization in Clinton, MO (NPI 1033798871).
Provider details
- NPI number
- 1033798871
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Omar Ziyadeh, PC Manager(203) 430-1321
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1600 N 2nd St
Clinton, MO 64735-1192
Phone: (203) 430-1321
Street-level locationGet directions
Mailing address
810 Reef Rd
Fairfield, CT 06824-6538
Registry dates
- Enumerated
- 2021-04-07
- Last updated
- 2021-04-13
- Certified
- 2021-04-13
Frequently asked questions
- What is Revive Medical Group, P.C.'s NPI number?
- Revive Medical Group, P.C.'s National Provider Identifier (NPI) is 1033798871, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revive Medical Group, P.C.?
- Revive Medical Group, P.C. is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Revive Medical Group, P.C. located?
- Revive Medical Group, P.C.'s practice location on file with NPPES is 1600 N 2nd St, Clinton, MO 64735-1192.
- What is Revive Medical Group, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Revive Medical Group, P.C. is (203) 430-1321.
- Who is the authorized official for Revive Medical Group, P.C.?
- The authorized official listed on Revive Medical Group, P.C.'s NPPES record is Omar Ziyadeh, PC Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revive Medical Group, P.C.'s NPI active?
- Yes — Revive Medical Group, P.C.'s NPI (1033798871) is active in the NPPES registry as of the last update on 2021-04-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.