Restoration Psychological Services Phoenix PLLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

RESTORATION PSYCHOLOGICAL SERVICES PHOENIX PLLC

Doing business as

Restoration Psychological Services

Practice address

17505 N 79TH Ave Ste 203
Glendale, AZ 85308-8726

Phone

(623) 887-3636

NPI assigned

Jan 12, 2024

Last updated

Jan 12, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Rachel Lynn White, PHD; LMFT

Title

Owner

Phone

(623) 887-3636

Specialties & licenses 1

Addresses

Other names 1

• Restoration Psychological Services Doing business as

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

{
    "created_epoch": "1705017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705017600000",
    "number": "1326819822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17505 N 79TH AVE STE 203",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088726",
            "telephone_number": "623-887-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17505 N 79TH AVE STE 203",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088726",
            "telephone_number": "623-887-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATION PSYCHOLOGICAL SERVICES PHOENIX PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-12",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-887-3636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD; LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restoration Psychological Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Marriage & Family Therapist in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Marriage & Family Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.