Restoration MBS Center,Inc.

Primary specialty

Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X

License

A-3821-0001-A Issued in IL

Legal business name

RESTORATION MBS CENTER,INC.

Practice address

1127 S Mannheim Rd
Suite 216
Westchester, IL 60154-2570

Phone

(708) 483-8320

Fax

(708) 483-8321

NPI assigned

Jul 10, 2009

Last updated

Jul 10, 2009By 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

Ms. Cornell G. Badette, CADC

Title

Director 1

Phone

(630) 660-6308

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1247184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247184000000",
    "number": "1386873362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 S MANNHEIM RD",
            "address_2": "SUITE 216",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601542570",
            "telephone_number": "708-483-8320",
            "fax_number": "708-483-8321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 S MANNHEIM RD",
            "address_2": "SUITE 216",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601542570",
            "telephone_number": "708-483-8320",
            "fax_number": "708-483-8321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATION MBS CENTER,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-10",
        "last_updated": "2009-07-10",
        "status": "A",
        "authorized_official_last_name": "BADETTE",
        "authorized_official_first_name": "CORNELL",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "DIRECTOR 1",
        "authorized_official_telephone_number": "630-660-6308",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CADC"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "A-3821-0001-A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction (Substance Use Disorder) Psychologist in Westchester, IL
• Providers in Westchester, IL by specialty
• Addiction (Substance Use Disorder) Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2009; 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.