NPIMap

Organization Active NPI

Restoration Behavioral Health Systems,LLC

  • Adult Mental Health Clinic/Center
  • White Marsh, MD
National Provider Identifier
1811624786
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
RESTORATION BEHAVIORAL HEALTH SYSTEMS,LLC
Practice address
5430 Campbell Blvd Ste 107
White Marsh, MD 21162-5503
Phone
(410) 982-6355
NPI assigned
Aug 2, 2022
Last updated
Aug 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Authorized official

Name
Mr. Kenneth Collins
Title
Cao
Phone
(410) 982-6355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU Primary

Addresses

Primary practice location

5430 Campbell Blvd Ste 107
White Marsh, MD 21162-5503

Mailing address

5430 Campbell Blvd Ste 107
White Marsh, MD 21162-5503
Phone (410) 982-6355

Other practice location 1

3455 Wilkens Ave Ste 100
Baltimore, MD 21229-5204
Phone (410) 982-6367

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL kcollins@restorationbhs.com

National Provider Directory

National Provider Directory
Tax ID family
Restoration Behavioral Health Systemsllc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659398400000",
    "number": "1811624786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5430 CAMPBELL BLVD STE 107",
            "city": "WHITE MARSH",
            "state": "MD",
            "postal_code": "211625503",
            "telephone_number": "410-982-6355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5430 CAMPBELL BLVD STE 107",
            "city": "WHITE MARSH",
            "state": "MD",
            "postal_code": "211625503",
            "telephone_number": "410-982-6355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3455 Wilkens Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212295204",
            "country_code": "US",
            "telephone_number": "410-982-6367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RESTORATION BEHAVIORAL HEALTH SYSTEMS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-02",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "CAO",
        "authorized_official_telephone_number": "410-982-6355",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kcollins@restorationbhs.com",
            "affiliation": "N",
            "address_1": "5430 Campbell Blvd Ste 107",
            "city": "White Marsh",
            "state": "MD",
            "country_code": "US",
            "postal_code": "211625503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in White Marsh, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.