Pioneer Healing and Restoration Services Inc,

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

PIONEER HEALING AND RESTORATION SERVICES INC,

Practice address

1885 University Ave W Ste 300a
Saint Paul, MN 55104-3462

Phone

(612) 564-9554

NPI assigned

Feb 6, 2018

Organization subpart

No

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

Authorized official

Name

Omar Mohamed

Title

Ceo

Phone

(612) 636-3593

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1517875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517875200000",
    "number": "1932608916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1885 UNIVERSITY AVE W, SUITE 300A",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "55104",
            "telephone_number": "612-564-9554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1885 UNIVERSITY AVE W STE 300A",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043462",
            "telephone_number": "612-564-9554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER HEALING AND RESTORATION SERVICES INC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-06",
        "last_updated": "2018-02-06",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-636-3593"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suriyamurthy Mohan Pillai, M.D.
• Michael E Pinchback, M.D.
• Danielle Alysse Pinon, LPC
• Megan Pint, D.D.S.
• Raisa Marie Pinto, MBBS
• Erin Elizabeth Piorier, CPM
• Pipe Trade Health Care Services
• Donald A Piper Jr., MD
• Elizabeth Pitchford, M.A., LPCC
• Amanda Victoria Pittman, LM, CPM

• Adult Mental Health Clinic/Center in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Adult Mental Health Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2018; 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.