Revive Psychotherapy LLC
NPI 1699651562ActiveOrganization· Social Worker, Clinical· Natick, MA
Social Worker, Clinical in Natick, Massachusetts, registered in NPPES in August 2025. The authorized official on file is Nidhi Jain, LICSW, Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1699651562 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 14, 2025 |
| Last updated in NPPES | Aug 14, 2025 |
| Certified by provider | Aug 14, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MA) |
|---|
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