NPIMap

Organization Active NPI

Restoring Minds Behavioral Health Services, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1790453900
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
RESTORING MINDS BEHAVIORAL HEALTH SERVICES, LLC
Practice address
1105 N Point Blvd Ste 310
Baltimore, MD 21224-3472
Phone
(410) 800-6186
NPI assigned
Sep 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Authorized official

Name
Nicole Latasha Shell, CRNP-PMH, PMHNP-BCNPI 1265056774
Title
Provider
Phone
(410) 800-6186

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
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1105 N Point Blvd Ste 310
Baltimore, MD 21224-3472

Mailing address

1105 N Point Blvd Ste 310
Baltimore, MD 21224-3472
Phone (410) 800-6186

Other practice location 1

5430 Campbell Blvd Ste 107
White Marsh, MD 21162-5503
Phone (443) 720-3902

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL restoringmindsbhs@gmail.com

National Provider Directory

National Provider Directory
Tax ID family
Restoring Minds TMS Psych4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

1105 N Point Blvd
Ste 310
Baltimore, MD 21224
Phone (410) 800-6186

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": "1630454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784246400000",
    "number": "1790453900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 N POINT BLVD STE 310",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212243472",
            "telephone_number": "410-800-6186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 N POINT BLVD STE 310",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212243472",
            "telephone_number": "410-800-6186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5430 Campbell Blvd Ste 107",
            "address_purpose": "LOCATION",
            "city": "White Marsh",
            "state": "MD",
            "postal_code": "211625503",
            "country_code": "US",
            "telephone_number": "443-720-3902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RESTORING MINDS BEHAVIORAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-01",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A",
        "authorized_official_last_name": "SHELL",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "LATASHA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "410-800-6186",
        "authorized_official_credential": "CRNP-PMH, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "restoringmindsbhs@gmail.com",
            "affiliation": "N",
            "address_1": "1105 N Point Blvd Ste 310",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212243472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

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