Organization Active NPI

Restorative Behavioral Health, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Berlin, MD
National Provider Identifier
1699488023
Registry record updated Aug 20, 2026
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
RESTORATIVE BEHAVIORAL HEALTH, INC.
Practice address
29 Broad St Ste 202a
Berlin, MD 21811-1054
Phone
(667) 288-1566
NPI assigned
Dec 30, 2022
Last updated
Aug 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Authorized official

Name
Charleen GondenNPI 1255822565
Title
Ceo
Phone
(667) 288-1566

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 NU Primary

Addresses

Primary practice location

29 Broad St Ste 202a
Berlin, MD 21811-1054

Mailing address

29 Broad St Ste 202a
Berlin, MD 21811-1054
Phone (667) 288-1566

National Provider Directory

National Provider Directory
Tax ID family
Restorative Behavioral Health Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

29 Broad St
Ste 202A
Berlin, MD 21811
Phone (667) 288-1566

9956 N Main St
Unit 4
Berlin, MD 21811
Phone (410) 629-1845

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1672358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787184000000",
    "number": "1699488023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 BROAD ST STE 202A",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218111054",
            "telephone_number": "667-288-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 BROAD ST STE 202A",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218111054",
            "telephone_number": "667-288-1566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATIVE BEHAVIORAL HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-30",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A",
        "authorized_official_last_name": "GONDEN",
        "authorized_official_first_name": "CHARLEEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "667-288-1566"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.