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Orange County Revive Services, Inc.

Mental Health Clinic/Center (Including Community Mental Health Center) in Lake Forest, CA · enumerated 2023 · authorized official Tyler Michaelis, Ceo.

Data current as of Jul 11, 2026 · sourced from CMS NPPES

National Provider Identifier

1306543962

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Registry record

Entity type Organization (Type 2)
Legal business name Orange County Revive Services, Inc.
Parent organization Orange County Revive Services, Inc.
Practice address 23726 Birtcher Dr, Lake Forest, CA, 92630
Enumeration date Feb 14, 2023
Last updated in NPPES Feb 14, 2023

Taxonomy & classification

320800000X Mental Illness Community Based Residential Treatment Facility Residential Treatment Facilities Secondary
261QM0801X Mental Health Clinic/Center (Including Community Mental Health Center) Ambulatory Health Care Facilities Primary

Authorized official

Name Tyler Michaelis
Title Ceo

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty.

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Frequently asked questions

Where is Orange County Revive Services, Inc. located?
The practice location on file with NPPES is in Lake Forest, CA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2023-02-14. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-02-14.