Organization Active NPI

Restoration Psychiatry, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Gallatin, TN
National Provider Identifier
1508675570
Registry record updated Jan 31, 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
RESTORATION PSYCHIATRY, PLLC
Practice address
156 N Water Ave Ste 3
Gallatin, TN 37066-2846
Phone
(615) 524-1022
Fax
(888) 244-1057
NPI assigned
Jan 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Authorized official

Name
Jessica Lynn Byrd, PMHNP-BC, WHNP-BCNPI 1164613907
Title
Owner
Phone
(615) 497-6874

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

156 N Water Ave Ste 3
Gallatin, TN 37066-2846

Mailing address

40 Snake Hollow Rd
Bethpage, TN 37022-4672
Phone (615) 497-6874

Other names 1

  • Jessica Byrd Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250131000674 TN Part B Supplier - Clinic/Group Practice 5395274674 Receives reassigned benefits from 1 practitioner
Practice locations: Gallatin, TN
O20260430000302 KY Part B Supplier - Clinic/Group Practice 5395274674 Receives reassigned benefits from 1 practitioner
Practice locations: Glasgow, KY

National Provider Directory

National Provider Directory

Locations

156 N Water Ave
Ste 3
Gallatin, TN 37066
Phone (615) 524-1022

200 S Westland Ave
Ste 2
Gallatin, TN 37066
Phone (615) 452-0035

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": "1735948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738281600000",
    "number": "1508675570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 SNAKE HOLLOW RD",
            "city": "BETHPAGE",
            "state": "TN",
            "postal_code": "370224672",
            "telephone_number": "615-497-6874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 N WATER AVE STE 3",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370662846",
            "telephone_number": "615-524-1022",
            "fax_number": "888-244-1057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATION PSYCHIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-04",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A",
        "authorized_official_last_name": "BYRD",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-497-6874",
        "authorized_official_credential": "PMHNP-BC, WHNP-BC"
    },
    "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": [
        {
            "organization_name": "Jessica Byrd",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jessica Byrd",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gallatin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.