OrganizationActive
Psyche Revive LLC
NPI 1376219402 · Psychiatry Physician · Lincroft, NJ
Psyche Revive LLC is a Psychiatry Physician organization in Lincroft, NJ (NPI 1376219402).
Provider details
- NPI number
- 1376219402
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Stephen Jaeger, Founding Physician(347) 721-5590
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
4 Swimming River Rd Ste 101
Lincroft, NJ 07738-1727
Phone: (646) 708-3846
Street-level locationGet directions
Mailing address
30 La Jolla Ct
Holmdel, NJ 07733-2520
Registry dates
- Enumerated
- 2021-08-18
- Last updated
- 2021-08-18
- Certified
- 2021-08-18
Frequently asked questions
- What is Psyche Revive LLC's NPI number?
- Psyche Revive LLC's National Provider Identifier (NPI) is 1376219402, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Psyche Revive LLC?
- Psyche Revive LLC is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Psyche Revive LLC located?
- Psyche Revive LLC's practice location on file with NPPES is 4 Swimming River Rd Ste 101, Lincroft, NJ 07738-1727.
- What is Psyche Revive LLC's phone number?
- The practice phone number listed in the NPPES registry for Psyche Revive LLC is (646) 708-3846.
- Who is the authorized official for Psyche Revive LLC?
- The authorized official listed on Psyche Revive LLC's NPPES record is Stephen Jaeger, Founding Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Psyche Revive LLC's NPI active?
- Yes — Psyche Revive LLC's NPI (1376219402) is active in the NPPES registry as of the last update on 2021-08-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.