Organization Active NPI

Restorative Sleep, LLC

  • Clinic/Center
  • Milwaukee, WI
National Provider Identifier
1417183237
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
2083-057 Issued in WI
Legal business name
RESTORATIVE SLEEP, LLC
Practice address
2727-I N. Mayfair Rd
Milwaukee, WI 53222-4400
Phone
(414) 698-2654
Fax
(262) 354-1575
NPI assigned
Jun 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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

Authorized official

Name
Dr. Catherine Clayton Loomis, PH.D.NPI 1255477253
Title
Licensed Psychologist
Phone
(414) 698-2654

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
Clinic/Center 261Q00000X 2083-057 WI Primary

Addresses

Primary practice location

2727-I N. Mayfair Rd
Milwaukee, WI 53222-4400

Mailing address

2727-I N. Mayfair Rd
Milwaukee, WI 53222-4400
Phone (414) 698-2654

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090806000445 WI Part B Supplier - Clinic/Group Practice 8527111665 Receives reassigned benefits from 1 practitioner
Practice locations: Milwaukee, WI

National Provider Directory

National Provider Directory

Locations

201 N Mayfair Rd
Ste 505
Wauwatosa, WI 53226
Phone (414) 258-7799

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": "1244419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728000000000",
    "number": "1417183237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727-I N. MAYFAIR RD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532224400",
            "telephone_number": "414-698-2654",
            "fax_number": "262-354-1575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727-I N. MAYFAIR RD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532224400",
            "telephone_number": "414-698-2654",
            "fax_number": "262-354-1575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATIVE SLEEP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-08",
        "last_updated": "2024-10-04",
        "status": "A",
        "authorized_official_last_name": "LOOMIS",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "CLAYTON",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "414-698-2654",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WI",
            "license": "2083-057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; 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.