Revitalize Psychiatry, PLLC
NPI 1720792799 · Mental Health Clinic/Center (Including Community Mental Health Center) · Charlotte, NC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Revitalize Psychiatry, PLLC is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Charlotte, NC (NPI 1720792799).
Provider details
- NPI number
- 1720792799
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Casey Watson, Owner(704) 459-2181
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
Mailing address
Registry dates
- Enumerated
- 2023-01-13
- Last updated
- 2023-04-02
- Certified
- 2023-04-02
Frequently asked questions
- What is Revitalize Psychiatry, PLLC's NPI number?
- Revitalize Psychiatry, PLLC's National Provider Identifier (NPI) is 1720792799, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revitalize Psychiatry, PLLC?
- Revitalize Psychiatry, PLLC is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Revitalize Psychiatry, PLLC located?
- Revitalize Psychiatry, PLLC's practice location on file with NPPES is 11220 Elm Ln Ste 203-9, Charlotte, NC 28277-0715.
- What is Revitalize Psychiatry, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Revitalize Psychiatry, PLLC is (704) 459-2181.
- Does Revitalize Psychiatry, PLLC accept Medicare?
- Revitalize 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 Revitalize Psychiatry, PLLC?
- The authorized official listed on Revitalize Psychiatry, PLLC's NPPES record is Casey Watson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revitalize Psychiatry, PLLC's NPI active?
- Yes — Revitalize Psychiatry, PLLC's NPI (1720792799) is active in the NPPES registry as of the last update on 2023-04-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.