Organization Active NPI

Restored Radiance Integrative Psychiatry L.L.C.

  • Psychiatric/Mental Health Nurse Practitioner
  • Cockeysville, MD
National Provider Identifier
1215871884
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
RESTORED RADIANCE INTEGRATIVE PSYCHIATRY L.L.C.
Practice address
111 Warren Rd Ste 12a
Cockeysville, MD 21030-2453
Phone
(443) 353-9393
NPI assigned
Apr 15, 2026
Last updated
Apr 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Authorized official

Name
Dr. Courtney Pate, PHD, CRNP, PMHNP-BCNPI 1205199833
Title
Owner
Phone
(443) 353-9393

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: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

111 Warren Rd Ste 12a
Cockeysville, MD 21030-2453

Mailing address

111 Warren Rd Ste 12a
Cockeysville, MD 21030-2453
Phone (443) 353-9393

National Provider Directory

National Provider Directory

Locations

111 Warren Rd
Ste 12A
Cockeysville, MD 21030
Phone (443) 353-9393

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1776211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777248000000",
    "number": "1215871884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 WARREN RD STE 12A",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210302453",
            "telephone_number": "443-353-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 WARREN RD STE 12A",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210302453",
            "telephone_number": "443-353-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORED RADIANCE INTEGRATIVE PSYCHIATRY L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-15",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A",
        "authorized_official_last_name": "PATE",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-353-9393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, CRNP, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cockeysville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; 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.