Revive Psychiatry, PLLC
NPI 1699647701 · Psychiatric/Mental Health Nurse Practitioner · Durant, OK
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Revive Psychiatry, PLLC is a Psychiatric/Mental Health Nurse Practitioner organization in Durant, OK (NPI 1699647701).
Provider details
- NPI number
- 1699647701
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Jonathan Kaminar, Owner(580) 754-4164
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
Mailing address
Registry dates
- Enumerated
- 2025-09-18
- Last updated
- 2025-09-26
- Certified
- 2025-09-26
Frequently asked questions
- What is Revive Psychiatry, PLLC's NPI number?
- Revive Psychiatry, PLLC's National Provider Identifier (NPI) is 1699647701, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revive Psychiatry, PLLC?
- Revive Psychiatry, PLLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Revive Psychiatry, PLLC located?
- Revive Psychiatry, PLLC's practice location on file with NPPES is 720 Bryan Dr Ste C, Durant, OK 74701-7032.
- What is Revive Psychiatry, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Revive Psychiatry, PLLC is (580) 754-4164.
- Does Revive Psychiatry, PLLC accept Medicare?
- Revive Psychiatry, PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Revive Psychiatry, PLLC?
- The authorized official listed on Revive Psychiatry, PLLC's NPPES record is Jonathan Kaminar, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revive Psychiatry, PLLC's NPI active?
- Yes — Revive Psychiatry, PLLC's NPI (1699647701) is active in the NPPES registry as of the last update on 2025-09-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.