RESTORATION BEHAVIORAL HEALTH CENTER, INC. (NPI# 1124626320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124626320 |
| Entity Type | Organization |
| Organization Name | RESTORATION BEHAVIORAL HEALTH CENTER, INC. |
| Practice Address |
1235 Sampson Street Des Moines IA 50316 |
| Mailing Address |
Po Box 836 Des Moines IA 50304-0836 |
| Practice Telephone | 5153399016 |
| Practice Fax Number | 5152666029 |
| Mailing Telephone | 5153399016 |
| Mailing Fax Number | 5152666029 |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2020-10-12 |
| Authorized Official Name | JACQUELYN JUANITA SEYMOUR (BOARD MEMBER) |
| Authorized Official Telephone | 5153399016 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
1235 SAMPSON STREET |
| City | DES MOINES |
| State | IA |
| Zip Code | 50316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154928497 | Yeshua Reentry and Recovery Center Inc | Community Health Worker | 1235 Sampson St, Des Moines, IA 50316 | 2020-10-08 |
| 1639594484 | Tripti Kaul | Dentist | 1345 E. University Avenue, #302, Des Moines, IA 50316 | 2014-03-03 |
| 1184979023 | Ashley Marie Mundt | Physical Therapist | 710 Riverview Street, Des Moines, IA 50316 | 2012-07-17 |
| 1942562020 | Angela Maria Runkel | Nurse Practitioner | 1201 Penn Avenue, Penn Avenue Internal Medicine, Des Moines, IA 50316 | 2012-06-13 |
| 1821390121 | Recovercare LLC | Durable Medical Equipment & Medical Supplies | 2117 Dixon St, Des Moines, IA 50316 | 2010-11-19 |
| 1588838841 | Leenu Mishra | Psychiatry & Neurology | 700 East University Ave 3 West, Blank Childrens Psychiatry, Des Moines, IA 50316 | 2008-04-17 |
| 1477721686 | Kristin K Horning | Pharmacist | 840 East University Avenue, Des Moines, IA 50316 | 2008-02-11 |
| 1770695488 | Terrance O Kurtz | Internal Medicine | 2100 Dixon, Suite E Concentra Clinic, Des Moines, IA 50316 | 2006-08-31 |
| 1487281085 | Timothy Andrew Flynn | Behavioral Analyst | 1301 Pennsylvania Ave, Suite #305, Des Moines, IA 50316 | 2020-03-24 |
| 1700370624 | Ericka Marie Tank | Family Medicine | 840 E University Ave, Des Moines, IA 50316 | 2018-06-15 |
| Find all providers in zip 50316 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548805021 | Central Iowa Trauma and Recovery Center | Clinic/Center | 301 E Court Ave Ste 105, Des Moines, IA 50309-2004 | 2019-11-08 |
| 1750938825 | Paradocs Psychological Services | Clinic/Center | 1400 Walnut St #110, Onyx Business, Des Moines, IA 50309 | 2019-08-22 |
| 1982657490 | Eyerly Ball Community Mental Health Services | Clinic/Center | 1301 Center St, Des Moines, IA 50309-1004 | 2006-05-18 |
| 1063402618 | Orchard Place | Clinic/Center | 808 5th Ave, Des Moines, IA 50309-1315 | 2005-10-25 |
| 1326660903 | Antonia L. Valadez, Lisw, LLC | Clinic/Center | 4685 Merle Hay Rd Ste 108, Des Moines, IA 50322-1982 | 2020-05-17 |
| 1710508197 | Ananda Mental Wellness and Yoga, LLC | Clinic/Center | 4685 Merle Hay Rd Ste 108, Des Moines, IA 50322-1982 | 2020-04-27 |
| 1205378890 | Sea Mar Community Health Centers | Clinic/Center | 2781 S 242nd St, Des Moines, WA 98198-5166 | 2016-11-14 |
| 1619379724 | Melissa Dee Larsen | Clinic/Center | 5005 Douglas Ave, Suite 101, Des Moines, IA 50310-2760 | 2014-09-19 |
| 1427398338 | Mercy Clinics, Inc | Clinic/Center | 1750 48th St, Suite 2, Des Moines, IA 50310-1988 | 2013-03-01 |
| 1326323189 | Mercy Professional Practice Associates, Inc | Clinic/Center | 1750 48th St, Suite 2, Des Moines, IA 50310-1988 | 2011-10-12 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 50316 |
Please comment or provide details below to improve the information on RESTORATION BEHAVIORAL HEALTH CENTER, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.