Organization Active NPI

Restorative Brain Center

  • Psychiatry Physician
  • Leawood, KS
National Provider Identifier
1124777479
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
RESTORATIVE BRAIN CENTER
Practice address
4901 W 136TH St Ste 101
Leawood, KS 66224-5926
Phone
(816) 820-8483
Fax
(816) 466-5801
NPI assigned
Mar 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Authorized official

Name
Robb Said
Title
Billing Manager
Phone
(816) 929-9244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

4901 W 136TH St Ste 101
Leawood, KS 66224-5926

Mailing address

4901 W 136TH St Ste 101
Leawood, KS 66224-5926
Phone (816) 820-8483

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240911000902 KS Part B Supplier - Clinic/Group Practice 0042750515 Receives reassigned benefits from 1 practitioner
Practice locations: Leawood, KS

National Provider Directory

National Provider Directory

Locations

4901 W 136th St
Ste 101
Leawood, KS 66224
Phone (816) 820-8483

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": "1647993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759363200000",
    "number": "1124777479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 W 136TH ST STE 101",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662245926",
            "telephone_number": "816-820-8483",
            "fax_number": "816-466-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 W 136TH ST STE 101",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662245926",
            "telephone_number": "816-820-8483",
            "fax_number": "816-466-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATIVE BRAIN CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-23",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A",
        "authorized_official_last_name": "SAID",
        "authorized_official_first_name": "ROBB",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "816-929-9244"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leawood, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.