Restoring Minds Behavioral Services LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

RESTORING MINDS BEHAVIORAL SERVICES LLC

Practice address

2909 E Arkansas LN Ste C
Arlington, TX 76010-6930

Phone

(214) 727-7900

Fax

(682) 238-0376

NPI assigned

Jun 16, 2020

Organization subpart

No

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

Authorized official

Name

Kemi FawehinmiNPI 1720593981

Title

Owner

Phone

(682) 246-1748

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kemi Fawehinmi, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Dallas, TX
  • NPI 1720593981
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638489600000",
    "number": "1396360269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 183474",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760963474",
            "telephone_number": "682-246-1748",
            "fax_number": "855-956-4363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 E ARKANSAS LN STE C",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760106930",
            "telephone_number": "214-727-7900",
            "fax_number": "682-238-0376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORING MINDS BEHAVIORAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-16",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A",
        "authorized_official_last_name": "FAWEHINMI",
        "authorized_official_first_name": "KEMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "682-246-1748"
    },
    "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": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; 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.