Organization Active NPI

Restore Psychiatry & Wellness, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bullard, TX
National Provider Identifier
1013704337
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
RESTORE PSYCHIATRY & WELLNESS, PLLC
Practice address
21830 Country MDWS
Bullard, TX 75757-1246
Phone
(903) 300-1829
Fax
(903) 213-9115
NPI assigned
Apr 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ranie Meyer, NPNPI 1023468022
Title
Owner/Ceo
Phone
(903) 904-8616

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

21830 Country MDWS
Bullard, TX 75757-1246

Mailing address

5473 Blair Rd Ste 100
Dallas, TX 75231-4227

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1745193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745193600000",
    "number": "1013704337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5473 BLAIR RD STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21830 COUNTRY MDWS",
            "city": "BULLARD",
            "state": "TX",
            "postal_code": "757571246",
            "telephone_number": "903-300-1829",
            "fax_number": "903-213-9115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE PSYCHIATRY & WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-21",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "RANIE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "903-904-8616",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bullard, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.