Restorative Brain Clinic, Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

RESTORATIVE BRAIN CLINIC, INC

Practice address

1010 Carondelet Dr Ste 112
Kansas City, MO 64114-4821

Phone

(866) 695-2867

Fax

(816) 321-1107

NPI assigned

Jun 21, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Jamie N Davis, RNNPI 1598251811

Title

Office Manager

Phone

(816) 738-4430

Specialties & licenses 1

Addresses

Other names 1

• Restorative Brain Clinic, INC Other name

Locations

Practitioners 1

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

• Jamie N Davis, RN

  • Psychiatric/Mental Health Registered Nurse
  • Kansas City, MO
  • NPI 1598251811
  NPD (past) Authorized official

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

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1093209124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 CARONDELET DR STE 112",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144821",
            "telephone_number": "866-695-2867",
            "fax_number": "816-321-1107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 CARONDELET DR STE 112",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144821",
            "telephone_number": "866-695-2867",
            "fax_number": "816-321-1107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATIVE BRAIN CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-21",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "816-738-4430",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restorative Brain Clinic, INC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Psychiatry Physician in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Psychiatry Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.