Organization Active NPI

Restoration Health LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bangor, ME
National Provider Identifier
1871847103
Registry record updated Sep 19, 2014
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
RESTORATION HEALTH LLC
Doing business as
Restorative Health LLC
Practice address
1 Cumberland PL
Suite 114
Bangor, ME 04401-5083
Phone
(207) 973-6620
NPI assigned
Nov 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2014

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

Authorized official

Name
Marie Suitter
Title
VP/Cfo
Phone
(207) 973-5110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1 Cumberland PL
Suite 114
Bangor, ME 04401-5083

Mailing address

268 Stillwater Ave
Bangor, ME 04401-3945

Other names 1

  • Restorative Health LLC Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

23 Water St
Ste 203
Bangor, ME 04401
Phone (207) 973-6620

1 Cumberland Pl
Ste 114
Bangor, ME 04401
Phone (207) 973-6620

NPI Registry JSON

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

{
    "created_epoch": "1352332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411084800000",
    "number": "1871847103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 STILLWATER AVE",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CUMBERLAND PL",
            "address_2": "SUITE 114",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015083",
            "telephone_number": "207-973-6620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATION HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-08",
        "last_updated": "2014-09-19",
        "status": "A",
        "authorized_official_last_name": "SUITTER",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "VP/CFO",
        "authorized_official_telephone_number": "207-973-5110"
    },
    "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": [
        {
            "organization_name": "Restorative Health LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bangor, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2014; 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.