Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Revive Behavioral Health

Organization Behavioral Neurology & Neuropsychiatry Physician · NPI 1942055504

Revive Behavioral Health is a Behavioral Neurology & Neuropsychiatry Physician in Petersburg, Virginia. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

416 3rd St Ste D
Petersburg, VA 23803-3300
Phone: (804) 653-7009
Fax: (804) 773-4688
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavioral Neurology & Neuropsychiatry Physician (primary) Taxonomy 2084B0040X

Record details

NPI number1942055504
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Hailey Mazzei — Owner · (804) 490-3226
Other names Revive Behavioral Health; Revive Behavioral Health
NPI enumeratedApril 18, 2024
Last updated in NPPESSeptember 13, 2025
Certification dateSeptember 13, 2025
Mailing address416 3rd St Ste D, Petersburg, VA 23803-3300