Organization Active NPI

Restoration Psychotherapy, PLLC

  • Clinical Social Worker
  • Davenport, IA
National Provider Identifier
1689573271
Registry record updated Nov 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
RESTORATION PSYCHOTHERAPY, PLLC
Practice address
2322 E Kimberly Rd Ste 265N
Davenport, IA 52807-7224
Phone
(563) 484-4918
NPI assigned
Nov 2, 2026
Last updated
Nov 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2026

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

Authorized official

Name
Katherine Flynn, LISW
Title
Business Owner
Phone
(845) 649-1707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2322 E Kimberly Rd Ste 265N
Davenport, IA 52807-7224

Mailing address

2322 E Kimberly Rd Ste 265N
Davenport, IA 52807-7224
Phone (563) 484-4918

NPI Registry JSON

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

{
    "created_epoch": "1793577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793577600000",
    "number": "1689573271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2322 E KIMBERLY RD STE 265N",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528077224",
            "telephone_number": "563-484-4918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2322 E KIMBERLY RD STE 265N",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528077224",
            "telephone_number": "563-484-4918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATION PSYCHOTHERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-11-02",
        "last_updated": "2026-11-02",
        "certification_date": "2026-11-02",
        "status": "A",
        "authorized_official_last_name": "FLYNN",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "845-649-1707",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.