Organization Active NPI

Restore Behavioral Health Clinic LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chelmsford, MA
National Provider Identifier
1407741473
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
RESTORE BEHAVIORAL HEALTH CLINIC LLC
Practice address
121 Brick Kiln Rd Unit 210
Chelmsford, MA 01824-3259
Phone
(978) 225-8340
NPI assigned
Jun 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Authorized official

Name
Irene Muchai, APRNNPI 1003491119
Title
Ceo
Phone
(978) 551-2218

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

121 Brick Kiln Rd Unit 210
Chelmsford, MA 01824-3259

Mailing address

107 Westford St
Dunstable, MA 01827-2405
Phone (978) 551-2218

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251217001661 MA Part B Supplier - Clinic/Group Practice 0648765628 Receives reassigned benefits from 1 practitioner
Practice locations: Chelmsford, MA

National Provider Directory

National Provider Directory

Locations

121 Brick Kiln Rd
Unit 210
Chelmsford, MA 01824
Phone (978) 225-8340

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1749513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749513600000",
    "number": "1407741473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 WESTFORD ST",
            "city": "DUNSTABLE",
            "state": "MA",
            "postal_code": "018272405",
            "telephone_number": "978-551-2218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 BRICK KILN RD UNIT 210",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018243259",
            "telephone_number": "978-225-8340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE BEHAVIORAL HEALTH CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-10",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-02",
        "status": "A",
        "authorized_official_last_name": "MUCHAI",
        "authorized_official_first_name": "IRENE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "978-551-2218",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelmsford, MA

Sources for this page

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

Verify at the official NPI Registry.