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

Revive Psychiatry & Wellness, PLLC

Organization Psychiatry Physician · NPI 1457174344

Revive Psychiatry & Wellness, PLLC is a Psychiatry Physician in Medford, Massachusetts. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

0 Governors Ave Ste 24
Medford, MA 02155-3097
Phone: (617) 294-9094
Fax: (844) 927-4990
Show map & directions

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

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X

Record details

NPI number1457174344
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rhianna Candido — Owner/Psychiatric Np · (617) 294-9094
NPI enumeratedNovember 7, 2024
Last updated in NPPESJune 22, 2026
Certification dateJune 22, 2026
Mailing address60 Moreland St Apt 3, Somerville, MA 02145-1483

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