Active NPI
Restore Brain, PLLC
- Behavioral Neurology & Neuropsychiatry Physician
- Denton, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavioral Neurology & Neuropsychiatry Physician
- Legal business name
- RESTORE BRAIN, PLLC
- Practice address
- 2800 Shoreline Dr # 220
Denton, TX 76210-0128 - Phone
- (888) 990-0663
- Fax
- (888) 990-0663
- NPI assigned
- Jan 22, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Cichy
- Title
- Practice Manager
- Phone
- (214) 562-6364
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavioral Neurology & Neuropsychiatry Physician | 2084B0040X | TX | Primary |
Addresses
Primary practice location
2800 Shoreline Dr # 220
Denton, TX 76210-0128
Mailing address
4643 Westgrove Dr
Addison, TX 75001-3216
Phone (214) 562-6364
Other practice location 1
11477 Olde Cabin Rd Ste 210
Saint Louis, MO 63141-7129
Phone (888) 990-0663
Other practice location 2
1005 W Ralph Hall Pkwy Ste 201
Rockwall, TX 75032-6662
Phone (888) 990-0663
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, MO
Enrollment records 2
National Provider Directory
National Provider Directory- Tax ID family
- Restore Brain PLLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ambulatory Surgical Clinic/Center
- The Colony, TX
- NPI 1528904950
Locations
4643 Westgrove Dr
Addison, TX 75001
Phone (214) 562-6364
5207 Heritage Ave
Colleyville, TX 76034
Phone (817) 355-8000
2721 Shoreline Dr
#120
Denton, TX 76210
Phone (888) 990-0663
2800 Shoreline Dr
Ste 220
Denton, TX 76210
Phone (888) 990-0663
2800 Shoreline Dr
#220
Denton, TX 76210
Phone (888) 990-0663
2711 Shoreline Dr
#220
Denton, TX 76210
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Ambulatory Surgical Clinic/Center
- The Colony, TX
- NPI 1528904950
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Neurology Physician
- Killeen, TX
- NPI 1093714172
-
- Psychiatry Physician
- Greenville, TX
- NPI 1700895026
-
- Clinical Medical Laboratory
- Princeton, TX
- NPI 1811632417
-
- Psychiatry Physician
- Irving, TX
- NPI 1356662118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516579200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765324800000",
"number": "1154839470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4643 WESTGROVE DR",
"city": "ADDISON",
"state": "TX",
"postal_code": "750013216",
"telephone_number": "214-562-6364",
"fax_number": "888-990-0663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 SHORELINE DR # 220",
"city": "DENTON",
"state": "TX",
"postal_code": "762100128",
"telephone_number": "888-990-0663",
"fax_number": "888-990-0663"
}
],
"practiceLocations": [
{
"address_1": "11477 Olde Cabin Rd Ste 210",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631417129",
"country_code": "US",
"telephone_number": "888-990-0663",
"fax_number": "888-990-0663",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1005 W Ralph Hall Pkwy Ste 201",
"address_purpose": "LOCATION",
"city": "Rockwall",
"state": "TX",
"postal_code": "750326662",
"country_code": "US",
"telephone_number": "888-990-0663",
"fax_number": "888-990-0663",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "RESTORE BRAIN, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-22",
"last_updated": "2025-12-10",
"certification_date": "2025-12-10",
"status": "A",
"authorized_official_last_name": "CICHY",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "214-562-6364"
},
"taxonomies": [
{
"code": "2084B0040X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.