Restore Psychotherapy and Yoga

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

180009102 Issued in IL

Legal business name

RESTORE PSYCHOTHERAPY AND YOGA

Practice address

3131 Taylor Ave
Elmwood Park, WI 53405-4524

Phone

(312) 608-0097

NPI assigned

Feb 21, 2018

Last updated

Mar 17, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephanie Mazzanti, LCPC, E-RYT

Title

Psychotherapist/Owner

Phone

(312) 608-0097

Specialties & licenses 1

Addresses

Other names 1

• Stephanie Mazzanti Other name

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

{
    "created_epoch": "1519171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1780185280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4123 MEACHEM RD",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534033912",
            "telephone_number": "312-608-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 TAYLOR AVE",
            "city": "ELMWOOD PARK",
            "state": "WI",
            "postal_code": "534054524",
            "telephone_number": "312-608-0097"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3633 W Lake Ave Ste 404",
            "address_purpose": "LOCATION",
            "city": "Glenview",
            "state": "IL",
            "postal_code": "600265801",
            "country_code": "US",
            "telephone_number": "312-608-0097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RESTORE PSYCHOTHERAPY AND YOGA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-21",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "MAZZANTI",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST/OWNER",
        "authorized_official_telephone_number": "312-608-0097",
        "authorized_official_credential": "LCPC, E-RYT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IL",
            "license": "180009102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stephanie Mazzanti",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rebecca Jeanette Hoye, LCPC
• Paruszkiewicz Counseling LLC
• Amber Kay Perkins, PHARMD
• Sarah Pettit
• Restore Behavioral Health
• Wisconsin CVS Pharmacy, L.L.C. (CVS Pharmacy # 10533)
• Karlie Marie Zahn, PHARM.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Elmwood Park, WI
• Providers in Elmwood Park, WI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.