Revival Mental Health LLC
NPI 1922721083 · Mental Illness Community Based Residential Treatment Facility · Fountain Valley, CA
Revival Mental Health LLC is a Mental Illness Community Based Residential Treatment Facility organization in Fountain Valley, CA (NPI 1922721083).
Provider details
- NPI number
- 1922721083
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Tyler Michaelis, Managing Member(949) 606-4681
Specialties & taxonomies
Residential Treatment 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
- 2022-09-23
- Last updated
- 2024-01-10
- Certified
- 2024-01-10
Frequently asked questions
- What is Revival Mental Health LLC's NPI number?
- Revival Mental Health LLC's National Provider Identifier (NPI) is 1922721083, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revival Mental Health LLC?
- Revival Mental Health LLC is classified in the NPPES registry as Mental Illness Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is Revival Mental Health LLC located?
- Revival Mental Health LLC's practice location on file with NPPES is 9879 Hamilton Ave, Fountain Valley, CA 92708-5117.
- What is Revival Mental Health LLC's phone number?
- The practice phone number listed in the NPPES registry for Revival Mental Health LLC is (949) 606-4681.
- Who is the authorized official for Revival Mental Health LLC?
- The authorized official listed on Revival Mental Health LLC's NPPES record is Tyler Michaelis, Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revival Mental Health LLC's NPI active?
- Yes — Revival Mental Health LLC's NPI (1922721083) is active in the NPPES registry as of the last update on 2024-01-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.