The Restorative Clinic, LLC

Primary specialty

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

Legal business name

THE RESTORATIVE CLINIC, LLC

Practice address

100 S Ashley Dr Ste 600-2324
Tampa, FL 33602-5304

Phone

(813) 598-0653

NPI assigned

Aug 23, 2025

Organization subpart

No

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

Authorized official

Name

Sukaina NicopheneNPI 1265782064

Title

MNS, Aprp, FNP-C, Pmhnp-C

Phone

(813) 598-0652

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sukaina Nicophene, MSN, ARNP-C, PMHNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Brandon, FL
  • NPI 1265782064
  NPD Authorized official

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

{
    "created_epoch": "1755907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755907200000",
    "number": "1821976309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10705 OLD SYCAMORE LOOP",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346384989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S ASHLEY DR STE 600-2324",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336025304",
            "telephone_number": "813-598-0653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RESTORATIVE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-23",
        "last_updated": "2025-08-23",
        "certification_date": "2025-08-23",
        "status": "A",
        "authorized_official_last_name": "NICOPHENE",
        "authorized_official_first_name": "SUKAINA",
        "authorized_official_title_or_position": "MNS, APRP, FNP-C, PMHNP-C",
        "authorized_official_telephone_number": "813-598-0652"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Tampa, FL
• Providers in Tampa, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2025; 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.