Search › Virginia › Psychiatric/Mental Health Nurse Practitioner
Jonathan Gogol, PMHNP
NPI 1437894748 · on the registry since 2022 · sole proprietor
Practice
- Address
- 416 3rd St Ste D
Petersburg, VA 23803 - Phone
- (804) 653-7009
- Fax
- (804) 773-4688
- Organisation at this address
- Revive Behavioral Health
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-01-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia