Restore Wellness Center Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

RESTORE WELLNESS CENTER INC.

Practice address

144 North Rd Ste 3150
Sudbury, MA 01776-1183

Phone

(978) 233-4990

Fax

(978) 233-4991

NPI assigned

Dec 13, 2021

Last updated

Jun 1, 2023By 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

Emile Soltau Jr.

Title

Vice President

Phone

(978) 233-4994

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1639353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685577600000",
    "number": "1912666322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 NORTH RD STE 3150",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017761156",
            "telephone_number": "978-233-4990",
            "fax_number": "978-233-4991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 NORTH RD STE 3150",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017761183",
            "telephone_number": "978-233-4990",
            "fax_number": "978-233-4991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE WELLNESS CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-13",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A",
        "authorized_official_last_name": "SOLTAU",
        "authorized_official_first_name": "EMILE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "978-233-4994",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ava Powell, MSW, LICSW
• Isabel Poznanski
• Marilyn A. Rand, M.A., CCC
• John Joseph Reap, MD
• Reina P. Garcia, DMD PC
• Brittney Reuter, LDN, LN, CNS
• Julia Reznik, M.D.
• Darcey Rice, PTA
• Deb Riggott
• Amanda Jeanne Riley

• Clinic/Center in Sudbury, MA
• Providers in Sudbury, MA by specialty
• Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; 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.