CENTER OF REVITALIZING PSYCHIATRY PC – NPI #1538572854
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

CENTER OF REVITALIZING PSYCHIATRY PC is an AHC clinic located in SARASOTA, FL. NPPES has assigned the NPI number 1538572854 to CENTER OF REVITALIZING PSYCHIATRY PC on June 04, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM0850X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adult Mental Health

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CENTER OF REVITALIZING PSYCHIATRY PC below.

NPI Profile for
CENTER OF REVITALIZING PSYCHIATRY PC

NPI Number
1538572854
Enumeration Date

(more than 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CENTER OF REVITALIZING PSYCHIATRY PC
Primary location
2033 WOOD ST STE 220
SARASOTA, FL 34237-7927
Phone: (941) 677-3366 Fax: (941) 677-3367
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MARINA TOURKOVA
MEDICAL DIRECTOR
Phone: (941) 677-3366
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0850X
- Clinic/Center / Adult Mental Health (Primary)
FL 12-58-AD-4404-01

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.